Individual
DR. ELISA YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4225 BRIGGS DR SE APT A101, OLYMPIA, WA 98501-4145
(907) 617-0169
Mailing address
4225 BRIGGS DR SE APT A101, OLYMPIA, WA 98501-4145
(907) 617-0169
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
568
AK
103TC0700X
Clinical Psychologist
Primary
PY0309
NV
Other
Enumeration date
03/05/2007
Last updated
03/12/2026
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