Individual provider · Type 1 NPI

Lynell Bennett Youngblood, BA, CADCII, NCACII

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1538359682 Active

Practice location

4545 Georgetown Pl, Ste F-36
Stockton, CA 95207-6215

Call (209) 953-8900 Map

Fax (209) 953-8816

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA3163282 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1538359682

Lynell Bennett Youngblood, BA, CADCII, NCACII's National Provider Identifier is 1538359682, issued on Jul 25, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Jul 25, 2007.