Individual
HOPE N YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
433 W BROADWAY ST, MUSKOGEE, OK 74401-6614
(918) 687-7064
Mailing address
1406 N 34TH ST, MUSKOGEE, OK 74401-1803
(505) 433-8599
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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