Provider Demographics
NPI:1346792785
Name:YOUNGBUCK, CATHERINE (MS)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:YOUNGBUCK
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:HUSSMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:4526 FEDERAL AVE BLDG 4WMS
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-2132
Mailing Address - Country:US
Mailing Address - Phone:360-317-5850
Mailing Address - Fax:425-349-7905
Practice Address - Street 1:4526 FEDERAL AVE BLDG 4WMS
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2132
Practice Address - Country:US
Practice Address - Phone:360-317-5850
Practice Address - Fax:425-349-7905
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60279595101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health