NPI | 1225447295 |
---|---|
Professional Name | TENA YOUNGBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00001182) |
Enumeration Date | 2014-08-04 |
Last Update Date | 2015-11-23 |