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General NPI Number Information
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NPI Number | 1053653402
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Entity Type | Individual
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Provider Name | STEFANIE M YOUNG LPCC
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Gender | Female
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Dates
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Enumeration Date | 03/25/2013
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 2295 W MARKET ST # STREETJ
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City | AKRON
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State | OH
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Zip | 44313-6944
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Country | US
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Telephone | 330-730-0082
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 S CLEVELAND MASSILLON RD STE 1
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City | FAIRLAWN
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State | OH
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Zip | 44333-9204
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Country | US
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Telephone | 307-544-8443
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Fax | 833-974-2062
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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 | E1700238
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License Number State |
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