Individual
MARY ELLEN YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
403 N BROAD ST, ADRIAN, MI 49221-2127
(517) 266-8500
(866) 223-1175
Mailing address
403 N BROAD ST, ADRIAN, MI 49221-2127
(517) 266-8500
(866) 223-1175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401010289
MI
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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