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Organization
YOUNG LIFE WELLNESS
Active
Organization
YOUNG LIFE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN M BLEVINS LMSW, CAADC, CCS (CEO)
(810) 428-7477
Entity
Organization
Contact information
Practice address
191 13 COLONIES LN, FLINT, MI 48507-5908
(810) 428-7477
Mailing address
2500 S LINDEN RD UNIT 320126, FLINT, MI 48532-7007
(248) 702-4463
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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