Most Relevant Information
Provider Data
| NPI Number: | 1003534512 |
| Provider Name: | NICOLE YOUNGERMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/19/2022 |
| Last Updated: | 08/19/2022 |
Provider Practice Location
9300 NE OAK VIEW DR
VANCOUVER
WA
986626157
Practice Location Phone/Fax
| Phone: | 3605672211 |
| Fax: | 3605672212 |
Provider Mailing Location
9300 NE OAK VIEW DR
VANCOUVER
WA
986626157
Provider Mailing Phone/Fax
| Phone: | 3605672211 |
| Fax: | 3605672212 |