Individual
MR. JOSEPH JONATHAN YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COUNSELOR
Contact information
Practice address
1903 BRAGG BLVD, SUITE 2, FAYETTEVILLE, NC 28303-4563
(910) 223-3737
(910) 223-3737
Mailing address
1903 BRAGG BLVD, SUITE 2, FAYETTEVILLE, NC 28303-4563
(910) 223-3737
(910) 223-3737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2902
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
431
NC
101YM0800X
Mental Health Counselor
Primary
2902
NC
Other
Enumeration date
10/10/2006
Last updated
05/14/2008
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