MR. JOSEPH JONATHAN YOUNGBLOOD COUNSELOR NPI 1710075577

NPI Information

NPI: 1710075577
Provider Name: MR. JOSEPH JONATHAN YOUNGBLOOD, COUNSELOR
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1903 BRAGG BLVD
SUITE 2
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 223-3737
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MR. Joseph Jonathan Youngblood, COUNSELOR is a mental health counselor in Fayetteville, NC. MR. Joseph Jonathan Youngblood, COUNSELOR NPI is 1710075577. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1903 BRAGG BLVD
SUITE 2
FAYETTEVILLE, NC
ZIP 28303-563
Phone: (910) 223-3737
Fax: (910) 223-3737

The enumeration date for this NPI number is 10/10/2006 and was last updated on 5/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		2902	NORTH CAROLINA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	431	NORTH CAROLINA	No
3	101YM0800X	Counselor	Mental Health	2902	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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