Individual
MATT YOUNGBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
(918) 640-8259
Mailing address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
(918) 640-8259
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10048
OK
Other
Enumeration date
08/15/2012
Last updated
07/12/2022
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