Individual
CORA ANN YOUNGBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
717 E MAIN ST, VERMILLION, SD 57069-3312
(605) 494-1500
Mailing address
335 N NORBECK ST APT 131, VERMILLION, SD 57069-2860
(605) 291-9781
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
121337
IA
101YM0800X
Mental Health Counselor
6434
SD
104100000X
Social Worker
121337
IA
104100000X
Social Worker
Primary
6434
SD
Other
Enumeration date
08/14/2023
Last updated
09/27/2023
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