Individual
JENNIFER LYNN YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
105 DARIN DR, BYRON, GA 31008-3904
(520) 405-6585
Mailing address
105 DARIN DR, BYRON, GA 31008-3904
(520) 405-6585
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-21434
AZ
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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