Search › Idaho › 1041C0700X
Matthew Youngberg, LMFT
NPI 1629287354 · on the registry since 2007 · sole proprietor
Practice
- Address
- 859 S Yellowstone Hwy #304
Rexburg, ID 83440 - Phone
- (208) 313-7464
- Fax
- (208) 907-0972
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 106H00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho