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General NPI Number Information
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NPI Number | 1861218489
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Entity Type | Individual
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Provider Name | MS. JULIE YOUNG
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Gender | Female
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Dates
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Enumeration Date | 11/27/2024
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 401 S 2ND ST STE 401
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City | PHILADELPHIA
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State | PA
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Zip | 19147-1612
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Country | US
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Telephone | 267-715-0693
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Fax |
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Provider Business Mailing Address
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Address Line | 225 S 18TH ST UNIT 1503
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City | PHILADELPHIA
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State | PA
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Zip | 19103-6184
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Country | US
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Telephone | 609-240-9789
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | APC000607
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License Number State | PA
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