Individual provider · Type 1 NPI

Summer Youngblood

Mental Health Counselor · San Rafael, CA

NPI number 1629338272 Active

Practice location

900 5th Ave, Suite 150
San Rafael, CA 94901-2959

Mailing address

1625 Herbert St, #13
Santa Rosa, CA 95401-4270

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629338272

Summer Youngblood's National Provider Identifier is 1629338272, issued on May 16, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on May 17, 2012.