Individual
MR. JERRY D YOUNGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1100 BERGSLIEN ST, BALDWIN, WI 54002-2600
(715) 684-1111
(715) 684-1119
Mailing address
1100 BERGSLIEN ST, BALDWIN, WI 54002-2600
(715) 684-1111
(715) 684-1119
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
448
WI
Other
Enumeration date
07/21/2006
Last updated
03/28/2018
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