Individual
MRS. ASHLEY CARTER YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW, LLMFT, CADC
Contact information
Practice address
4155 S 9TH ST, KALAMAZOO, MI 49009-8120
(269) 213-5002
Mailing address
4155 S 9TH ST, KALAMAZOO, MI 49009-8120
(269) 213-5002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
6801098813
MI
106H00000X
Marriage & Family Therapist
4101006666
MI
Other
Enumeration date
03/30/2012
Last updated
07/21/2022
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