JEFFERY YOUNGBLOOD

SAN PEDRO, CA
NPI1154199925
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1521360823)
Enumeration Date2023-12-12
Last Update Date2023-12-12
Business Address
JEFFERY YOUNGBLOOD
505 S PACIFIC AVE
SAN PEDRO, CA 90731-2656
Phone number: 310-519-8723
Mailing Address
JEFFERY YOUNGBLOOD
636 W 8TH ST APT 6
SAN PEDRO, CA 90731-3194
Phone number:
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