Individual
DONNA MARIE YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 GARDERE LN, BATON ROUGE, LA 70820
(225) 831-9565
(225) 831-9595
Mailing address
1707 GARDERE LN STE A, BATON ROUGE, LA 70820-8144
(225) 831-9565
(225) 831-9559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/27/2017
Last updated
06/16/2018
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