Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Joseph Jonathan Youngblood, COUNSELOR

Individual provider Counselor · NPI 1710075577

Mr. Joseph Jonathan Youngblood, COUNSELOR is a Counselor in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

1903 Bragg Blvd Ste 2
Fayetteville, NC 28303-4563
Phone: (910) 223-3737
Fax: (910) 223-3737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2902 (NC)
Counselor Taxonomy 101Y00000X · Licence 2902 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 431 (NC)

Record details

NPI number1710075577
Entity typeIndividual (Type 1)
GenderMale
Credentials COUNSELOR
Sole proprietorYes
NPI enumeratedOctober 10, 2006
Last updated in NPPESMay 14, 2008

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