Individual
TERESA YOUNGBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1111 S ORCHARD ST STE 245, BOISE, ID 83705-1964
(208) 867-9403
Mailing address
1111 S ORCHARD ST STE 245, BOISE, ID 83705-1964
(208) 867-9403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-30135
ID
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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