Search › Georgia › 1041C0700X
Kurt Youngberg, LCSW
NPI 1023360104 · on the registry since 2012 · sole proprietor
Practice
- Address
- 109 Anderson St Se Ste 101
Marietta, GA 30060 - Phone
- (714) 482-5472
- Organisation at this address
- Otis Prestige
Integrative Care Solutions Llc
Forman Lab & Screening Services
Independent Specimen Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 248 E 13800 S, Draper, UT
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- UT, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
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 Georgia