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Organization
VICTORIA C. YOUNGBLOOD
Active
Organization
VICTORIA C. YOUNGBLOOD
Active
Parent organization
AYUDA
Organization subpart
Yes
Provider details
NPI number
Legal business name
AYUDA
Authorized official
VICTORIA C YOUNGBLOOD M.S CAC III, LPC (OWNER/DIRECTOR)
(719) 459-6710
Entity
Organization
Contact information
Practice address
2019 E BIJOU ST, SUITE NUMBER 2, COLORADO SPRINGS, CO 80909-5818
(719) 459-6710
(719) 465-3150
Mailing address
2019 E BIJOU ST, SUITE NUMBER 2, COLORADO SPRINGS, CO 80909-5818
(719) 459-6710
(719) 465-3150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4082
CO
101YM0800X
Mental Health Counselor
Primary
1575
CO
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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