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General NPI Number Information
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NPI Number | 1538789722
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Entity Type | Individual
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Provider Name | AMBER YOUNG LCPC, LPC
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Gender | Female
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Dates
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Enumeration Date | 04/17/2020
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 36 MILL PLAIN RD STE 401
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City | DANBURY
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State | CT
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Zip | 06811-5114
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Country | US
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Telephone | 301-852-5250
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Fax |
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Provider Business Mailing Address
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Address Line | 5480 WISCONSIN AVE STE 201
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City | CHEVY CHASE
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State | MD
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Zip | 20815-3524
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC11545
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5261
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License Number State | CT
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