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General NPI Number Information
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NPI Number | 1003426610
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Entity Type | Organization
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Legal Business Name | JY COUNSELING, LLC
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Dates
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Enumeration Date | 08/07/2020
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Last Update Date | 01/16/2023
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Provider Practice Location Address
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Address Line | 6054 FORREST HOLLOW LN
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City | SPRINGFIELD
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State | VA
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Zip | 22152-1428
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Country | US
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Telephone | 703-988-7949
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Fax |
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Provider Business Mailing Address
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Address Line | 6054 FORREST HOLLOW LN
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City | SPRINGFIELD
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State | VA
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Zip | 22152-1428
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ CLINICIAN
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Name | JI YOUNG YOON
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Credential | MA-ATR, LPC
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Telephone | 703-988-7949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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