GREGGORY YOUNGBLOOD

BATON ROUGE, LA
NPI1558823203
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  LAC5086)
Enumeration Date2019-04-02
Last Update Date2020-11-13
Business Address
GREGGORY YOUNGBLOOD LAC
10508 N GLENSTONE PL
BATON ROUGE, LA 70810-2838
Phone number: 225-349-8696
Mailing Address
GREGGORY YOUNGBLOOD LAC
PO BOX 383
GROSSE TETE, LA 70740-0383
Phone number:
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