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General NPI Number Information
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NPI Number | 1003715376
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Entity Type | Individual
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Provider Name | CIERRA AMANDA YOUNG ALC
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Gender | Female
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 600 VESTAVIA PKWY STE 251
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City | VESTAVIA
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State | AL
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Zip | 35216-7719
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Country | US
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Telephone | 205-419-7376
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Fax |
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Provider Business Mailing Address
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Address Line | 1109 WOODLAND DR
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City | TALLAHASSEE
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State | FL
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Zip | 32305-6937
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Country | US
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Telephone | 678-698-0663
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | ALC06258
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License Number State | AL
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