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Jeffery Youngblood
Addiction (Substance Use Disorder) Counselor in San Pedro, California
NPI 1154199925

Jeffery Youngblood is an Addiction (Substance Use Disorder) Counselor based in San Pedro, CA and is specialized in Addiction (Substance Use Disorder). Jeffery Youngblood practices in San Pedro, CA. The NPI Number for Jeffery Youngblood is 1154199925 and holds a License No. R1521360823 (California).

The current practice location address for Jeffery Youngblood is 505 S Pacific Ave, San Pedro, CA and can be reached out via phone at 310-519-8723.

Location: 505 S Pacific Ave, San Pedro, CA, 90731-3194
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154199925
Provider Name
Jeffery Youngblood
Credential
Provider Entity Type
Individual
Gender
Male
Address
505 S Pacific Ave, San Pedro, CA, 90731-3194
Phone Number
310-519-8723
Fax Number
Provider Enumeration Date
12/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
505 S Pacific Ave
City
San Pedro
State
California
Zip
90731-2656
Phone Number
310-519-8723
Fax Number
person
Provider Business Mailing Address Details
Address
505 S Pacific Ave
City
San Pedro
State
California
Zip
90731-2656
Phone Number
310-519-8723
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R1521360823 (California)
Definition
Definition to come...
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