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Individual
TIERRA YOUNGBLOOD-FIELD
Active
Individual
TIERRA YOUNGBLOOD-FIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017826
MI
106H00000X
Marriage & Family Therapist
4101006746
MI
106H00000X
Marriage & Family Therapist
4101007120
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346757762
—
MI
Enumeration date
01/08/2018
Last updated
05/15/2024
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