Individual provider · Type 1 NPI

Greggory Youngblood, LAC

Addiction (Substance Use Disorder) Counselor · Baton Rouge, LA

NPI number 1558823203 Active

Practice location

10508 N Glenstone Pl
Baton Rouge, LA 70810-2838

Fax (225) 349-8698

Mailing address

PO Box 383
Grosse Tete, LA 70740-0383

Other practice locations

  • 25073 Highway 1, Plaquemine, LA 70764-4431 · (225) 687-1772

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLAC5086 (LA)

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

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About NPI 1558823203

Greggory Youngblood, LAC's National Provider Identifier is 1558823203, issued on Apr 2, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baton Rouge, LA. The record was last updated on Nov 13, 2020.