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General NPI Number Information
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NPI Number | 1427766302
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Entity Type | Organization
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Legal Business Name | JESSICA YOUNG COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 11/09/2022
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 5899 BAILEY RD
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City | MOUNT SHERMAN
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State | KY
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Zip | 42764-8769
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Country | US
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Telephone | 270-401-1235
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Fax |
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Provider Business Mailing Address
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Address Line | 606A N LINCOLN BLVD
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City | HODGENVILLE
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State | KY
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Zip | 42748-1621
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Country | US
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Telephone | 270-401-1235
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | JESSICA L YOUNG
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Credential | LCSW
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Telephone | 270-401-1235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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