Most Relevant Information
Provider Data
| NPI Number: | 1003353186 |
| Provider Name: | ELOISE YOUNGMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | LAC-LAC-LIC-750 |
Most Important Dates
| Enumeration Date: | 01/26/2017 |
| Last Updated: | 01/26/2017 |
Provider Practice Location
603 1/2 COURT AVE.
POPLAR
MT
59255
Practice Location Phone/Fax
| Phone: | 4067683852 |
| Fax: | 4067685202 |
Provider Mailing Location
6031/2 COURT AVE.
POPLAR
MT
59255
Provider Mailing Phone/Fax
| Phone: | 4067683852 |
| Fax: | 4067685202 |