Individual
GLORIA LYNN YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
1305 TACOMA AVE S STE 305, TACOMA, WA 98402-1903
(253) 396-5800
Mailing address
13222 12TH AVE S, BURIEN, WA 98168-2807
(206) 769-7295
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60559177
WA
Other
Enumeration date
10/02/2017
Last updated
04/12/2018
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