Adeline Youngblood, M.B.S., L.P.C.C

NPI #1689812547 in Hugo, Oklahoma

Provider Information

NPI Number: 1689812547
Entity Type: Individual
Name: Adeline Youngblood, M.B.S., L.P.C.C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.B.S., L.P.C.C
Enumeration Date: Jan 30, 2009
Last Updated: May 25, 2012

Practice Location

Address: 612 E JACKSON
City: Hugo
State: Oklahoma
ZIP Code: 74743
Phone: (580) 326-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary
Counselor	101Y00000X

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