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1528151156
CHRISTOPHER JON YOUNGBERG
AMMON, ID
NPI
1528151156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: ID LMFT2860)
Enumeration Date
2006-10-02
Last Update Date
2014-12-15
Business Address
-- CHRISTOPHER JON YOUNGBERG LMFT, PhD
2250 FIELDSTONE DR
AMMON, ID 83401-5880
Phone number: 208-552-3251
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Mailing Address
-- CHRISTOPHER JON YOUNGBERG LMFT, PhD
2250 FIELDSTONE DR
AMMON, ID 83401-5880
Phone number: 208-552-3251
Copy
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