Doctor Name: | HANNA YOUNG |
NPI Number: | 1609068907 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | LCSW-31637 |
Business Practice Address: | 125 Commerce Street, Ste B Mccall, ID - 836380102 |
Business Phone Number: | 2083696464 |
Business Fax Number: | |
Mailing Address: | Po Box 102, HORSESHOE BEND |
State: | ID |
Postal Code: | 836290102 |
Phone Number: | 2083696464 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2007 |
NPI Last Update Date: | 09/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LCSW-31637 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |