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General NPI Number Information
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NPI Number | 1063827061
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Entity Type | Organization
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Legal Business Name | DISTRICT HEIGHTS FAMILY & YOUTH SERVICES BUREAU
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Dates
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Enumeration Date | 06/27/2014
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 6421 ATWOOD ST
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City | DISTRICT HEIGHTS
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State | MD
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Zip | 20747-1345
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Country | US
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Telephone | 301-336-7600
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Fax | 304-499-2121
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Provider Business Mailing Address
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Address Line | 6421 ATWOOD ST
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City | DISTRICT HEIGHTS
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State | MD
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Zip | 20747-1345
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Country | US
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Telephone | 301-336-7600
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Fax | 301-499-2121
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KATRINA EMERSON
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Credential | LCPC
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Telephone | 301-336-7600
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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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