Youngblood, Summer

Youngblood, Summer is an individual health care provider with primary practice located at 900 5Th Ave Suite 150, San Rafael CA 94901-2959. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Youngblood, Summer can be contacted via phone (415) 457-6964.

Contact Information

Primary practice address
900 5Th Ave Suite 150 San Rafael CA 94901-2959
Phone: (415) 457-6964
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1629338272
LBN Legal business name Youngblood, Summer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2012
Last updated May 17th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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