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General NPI Number Information
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NPI Number | 1245810779
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Entity Type | Individual
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Provider Name | CIGI YOUNG LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 08/24/2025
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Provider Practice Location Address
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Address Line | 104 S FRONT AVE
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City | PRESTONSBURG
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State | KY
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Zip | 41653-1614
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Country | US
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Telephone | 270-748-0999
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Fax | 606-886-4433
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Provider Business Mailing Address
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Address Line | 3553 HENRYS WAY
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City | HENDERSON
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State | KY
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Zip | 42420-9226
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Country | US
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Telephone | 270-748-0999
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 278592
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 259598
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License Number State | KY
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