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Mr. Joseph Jonathan Youngblood, COUNSELOR
Mental Health Counselor in Fayetteville, North Carolina
NPI 1710075577

Joseph Jonathan Youngblood is a Mental Health Counselor based in Fayetteville, NC and is specialized in Mental Health. Joseph Jonathan Youngblood practices in Fayetteville, NC and has the professional credentials of COUNSELOR. The NPI Number for Joseph Jonathan Youngblood is 1710075577 and holds a License No. 2902 (North Carolina).

The current practice location address for Joseph Jonathan Youngblood is 1903 Bragg Blvd, Fayetteville, NC and can be reached out via phone at 910-223-3737 and via fax at 910-223-3737.

Location: 1903 Bragg Blvd, Fayetteville, NC, 28303-4563
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710075577
Provider Name
Joseph Jonathan Youngblood
Credential
COUNSELOR
Provider Entity Type
Individual
Gender
Male
Address
1903 Bragg Blvd, Fayetteville, NC, 28303-4563
Phone Number
910-223-3737
Fax Number
910-223-3737
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1903 Bragg Blvd
City
Fayetteville
State
North Carolina
Zip
28303-4563
Phone Number
910-223-3737
Fax Number
910-223-3737
person
Provider Business Mailing Address Details
Address
1903 Bragg Blvd
City
Fayetteville
State
North Carolina
Zip
28303-4563
Phone Number
910-223-3737
Fax Number
910-223-3737
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
2902 (North Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
431 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2902 (North Carolina)
Definition
Definition to come...
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