Susan Renee Youngblood in Wilson - Professional
Susan Renee Youngblood - NPI 1225245046
Susan Renee Youngblood is a Professional in Wilson, Oklahoma. Susan Renee Youngblood practices all healthcare services and medical treatments related to Professional. The NPI Number for Susan Renee Youngblood is 1225245046. The last update date is 2007-07-08.
Susan Renee Youngblood's current location address is 867 Us Highway 70a, Wilson, Oklahoma. You can contact this provider via phone number 5806682337 and fax number 4055730404. The mailing address for Susan Renee Youngblood is 867 Us Highway 70a, Wilson, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Renee Youngblood |
|---|---|
| Address | 867 Us Highway 70a, Wilson, Oklahoma |
| Phone Number | 5806682337 |
| Fax Number | 4055730404 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1225245046 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 867 Us Highway 70a |
|---|---|
| City | Wilson |
| State | Oklahoma (OK) |
| Post Code | 734631683 |
| Phone Number | 5806682337 |
| Fax Number | 4055730404 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 3573 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2006 | OK | SELECTCARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Susan Renee Youngblood by the Centers for Medicare & Medicaid Services?
The Susan Renee Youngblood has been assigned the NPI (National Provider Identifier) 1225245046 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Susan Renee Youngblood is physically located?
The Susan Renee Youngblood is physically situated at the following address: 867 Us Highway 70A, Wilson, OK, 734631683.
What is Susan Renee Youngblood's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Susan Renee Youngblood is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225245046 to Susan Renee Youngblood?
The Centers for Medicare & Medicaid Services originally issued the 1225245046 to Susan Renee Youngblood on 2007-05-17.
When was the information pertaining to Susan Renee Youngblood most recently updated or revised?
The details related to Susan Renee Youngblood, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.