Individual
ALAN YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
74 TRINITY PL, SUITE 612, NEW YORK, NY 10006-2003
(212) 285-0043
Mailing address
74 TRINITY PL, SUITE 612, NEW YORK, NY 10006-2003
(212) 285-0043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0036641
NY
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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