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General NPI Number Information
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NPI Number | 1770702367
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Entity Type | Organization
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Legal Business Name | GY COUNSELING, LLC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 1110 BENFIELD BLVD
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City | MILLERSVILLE
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State | MD
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Zip | 21108-2639
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Country | US
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Telephone | 301-529-1095
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Fax | 410-519-7333
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Provider Business Mailing Address
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Address Line | 1701 GLEBE CREEK WAY
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City | ODENTON
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State | MD
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Zip | 21113-2687
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Country | US
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Telephone | 301-529-1095
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Fax | 410-519-7333
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. GENEVIEVE ABENA YIRENKYI
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Credential | PH.D.
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Telephone | 301-529-1095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 04232
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License Number State | MD
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