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NPI Code Detail

MEDICARE: MRS. LAUREN YODER MA, LPC, ATR-BC

MEDICARE: MRS. LAUREN YODER MA, LPC, ATR-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0701006029VA

General Provider Information

NPI Number : 1598157232
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAUREN YODER MA, LPC, ATR-BC
Provider Business Mailing Address
First Line : 108A S COLUMBUS ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-3051
Country : US
Telephone Number : 703-420-7527
Fax Number :
Provider Business Practice Location Address
First Line : 108A S COLUMBUS ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-3051
Country : US
Telephone Number : 703-420-7527
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2015
Last Update Date : 02/20/2019

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