Individual
MAYA YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5217 N 1ST AVE, TUCSON, AZ 85718-4701
(520) 405-8722
Mailing address
5217 N 1ST AVE, TUCSON, AZ 85718-4701
(520) 405-8722
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005688
NM
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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