Individual provider · Type 1 NPI
Tiffany Youngberg, CMHC, LPC, LCPC
Mental Health Counselor · Fort Liberty, NC
NPI number
1306407119
Active
Practice location
2817 Rock Merritt Ave
Fort Liberty, NC 28310-7324
Fax (910) 907-6069
Mailing address
2817 Reilly St
Fort Bragg, NC 28310-7324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 10802252-6009 (UT) |
| Mental Health Counselor | 101YM0800X | LCPC-8787 (ID) |
| Mental Health Counselor | 101YM0800X | LPC-1974 (WY) |
| Mental Health Counselor Primary | 101YM0800X | 10802252-6004 (UT) |
Mental Health Counselor: Definition to come...
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About NPI 1306407119
Tiffany Youngberg, CMHC, LPC, LCPC's National Provider Identifier is 1306407119, issued on Jun 24, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Liberty, NC. The record was last updated on Jan 18, 2025.