MR. Jerry D Youngman, LPC

NPI #1750301693 in Baldwin, Wisconsin

Provider Information

NPI Number: 1750301693
Entity Type: Individual
Name: MR. Jerry D Youngman, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Jul 21, 2006
Last Updated: Mar 28, 2018

Practice Location

Address: 1100 BERGSLIEN ST
City: Baldwin
State: Wisconsin
ZIP Code: 54002-2600
Phone: (715) 684-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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