Individual provider · Type 1 NPI

Tierra Youngblood-Field

Professional Counselor · Grand Rapids, MI

NPI number 1346757762 Active

Practice location

790 Fuller Ave NE
Grand Rapids, MI 49503-1918

Call (616) 336-3909 Map

Fax (616) 336-8830

Other practice locations

  • 1345 Monroe Ave NW Ste 234, Grand Rapids, MI 49505-4692 · (616) 420-1060

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X4101006746 (MI)
Marriage & Family Therapist 106H00000X4101007120 (MI)
Professional Counselor Primary 101YP2500X6401017826 (MI)

Professional Counselor: Definition to come...

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About NPI 1346757762

Tierra Youngblood-Field's National Provider Identifier is 1346757762, issued on Jan 8, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on May 15, 2024.