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General NPI Number Information
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NPI Number | 1073023644
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Entity Type | Organization
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Legal Business Name | ELIZABETH YOUNG COUNSELING LLC
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Dates
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Enumeration Date | 10/09/2017
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 85 CHESTNUT HILL RD
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City | KILLINGWORTH
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State | CT
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Zip | 06419-1328
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Country | US
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Telephone | 203-710-1953
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Fax |
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Provider Business Mailing Address
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Address Line | 85 CHESTNUT HILL RD
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City | KILLINGWORTH
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State | CT
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Zip | 06419-1328
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Country | US
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Telephone | 203-710-1953
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | MRS. ELIZABETH C YOUNG
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Credential |
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Telephone | 203-710-1953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 003145
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License Number State | CT
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