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Individual
LYNELL BENNETT YOUNGBLOOD
Active
Individual
LYNELL BENNETT YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, CADCII, NCACII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A3163282
CA
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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