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General NPI Number Information
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NPI Number | 1174758072
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Entity Type | Organization
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Legal Business Name | YOUNG COUNSELING AND CONSULTING
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Dates
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Enumeration Date | 05/20/2009
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Last Update Date | 05/20/2009
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Provider Practice Location Address
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Address Line | 1000 SPRING GARDEN STREET
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City | GREENSBORO
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State | NC
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Zip | 27402-6170
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Country | US
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Telephone | 336-334-3464
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Fax | 336-334-3433
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Provider Business Mailing Address
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Address Line | 1000 SPRING GARDEN STREET
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City | GREENSBORO
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State | NC
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Zip | 27402-6170
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Country | US
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Telephone | 336-334-3464
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Fax | 336-334-3433
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | DR. JOHN SCOTT YOUNG
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Credential | PHD
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Telephone | 336-334-3464
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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 |
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License Number State |
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