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General NPI Number Information
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NPI Number | 1407737273
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Entity Type | Individual
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Provider Name | KRISTIN YARNELL LPC, CADC, CODP II
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Gender | Female
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 28371 DAVIS PKWY STE 102
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City | WARRENVILLE
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State | IL
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Zip | 60555-3035
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Country | US
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Telephone | 630-520-9205
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Fax |
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Provider Business Mailing Address
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Address Line | 1021 N MULFORD RD
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City | ROCKFORD
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State | IL
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Zip | 61107-3874
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Country | US
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Telephone | 888-928-0212
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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 | 36042
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 178.015052
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 34884
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License Number State | IL
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