Individual
ELIZABETH CYNTHIA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
161 E MALLARD DR, BOISE, ID 83706-5015
(208) 203-2781
Mailing address
749 N 26TH ST, BOISE, ID 83702-3160
(425) 281-5121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-10611
ID
101YM0800X
Mental Health Counselor
LPC-7937
ID
Other
Enumeration date
03/29/2019
Last updated
08/02/2024
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