Doctor Name: | MS. LAURIE YOUNG |
NPI Number: | 1164819249 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | SWP-LCSW-LIC-2328 |
Business Practice Address: | 709 Idaho St Deer Lodge, MT - 597221339 |
Business Phone Number: | 4062412520 |
Business Fax Number: | |
Mailing Address: | 709 Idaho St, DEER LODGE |
State: | MT |
Postal Code: | 597221339 |
Phone Number: | 4062412520 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2015 |
NPI Last Update Date: | 04/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SWP-LCSW-LIC-2328 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |