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General NPI Number Information
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NPI Number | 1376967596
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Entity Type | Individual
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Provider Name | BONNIE HASTINGS YOUNG-TURLEY M.ED., LPCA
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Gender | Female
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 02/25/2015
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Provider Practice Location Address
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Address Line | 14 N MAIN ST
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City | MADISONVILLE
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State | KY
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Zip | 42431-1963
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Country | US
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Telephone | 270-245-2205
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Fax |
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Provider Business Mailing Address
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Address Line | 14 N MAIN ST
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City | MADISONVILLE
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State | KY
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Zip | 42431-1963
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Country | US
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Telephone | 270-245-2205
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPCCCA00216376
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License Number State | KY
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