Individual
CAROL YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LPC
Contact information
Practice address
207 LARKSPUR ST, PONDERAY, ID 83852-5011
(208) 610-5795
Mailing address
61 WHISKEY JACK RD, SANDPOINT, ID 83864-8803
(208) 610-5795
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC-3765
ID
106H00000X
Marriage & Family Therapist
Primary
LMFT-3766
ID
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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