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Latasha Youngblood
Mental Health Counselor in Brandenburg, Kentucky
NPI 1033610225

Latasha Youngblood is a Mental Health Counselor based in Brandenburg, KY and is specialized in Mental Health. Latasha Youngblood practices in Brandenburg, KY. The NPI Number for Latasha Youngblood is 1033610225 and holds a License No. (Kentucky).

The current practice location address for Latasha Youngblood is 2025 Bypass Rd, Brandenburg, KY and can be reached out via phone at 270-422-3971.

Location: 2025 Bypass Rd, Brandenburg, KY, 40108-1605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033610225
Provider Name
Latasha Youngblood
Credential
Provider Entity Type
Individual
Gender
Female
Address
2025 Bypass Rd, Brandenburg, KY, 40108-1605
Phone Number
270-422-3971
Fax Number
Provider Enumeration Date
02/23/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30605018 05 KY
institution
Provider Business Practice Location Address Details
Address
2025 Bypass Rd
City
Brandenburg
State
Kentucky
Zip
40108-1605
Phone Number
270-422-3971
Fax Number
person
Provider Business Mailing Address Details
Address
2025 Bypass Rd
City
Brandenburg
State
Kentucky
Zip
40108-1605
Phone Number
270-422-3971
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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