Individual
CLEMON YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
1211 W VINE ST STE C, OPELOUSAS, LA 70570-3337
(337) 678-3201
Mailing address
1211 W VINE ST STE C, OPELOUSAS, LA 70570-3337
(337) 678-3201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
07/03/2017
Last updated
07/21/2022
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