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General NPI Number Information
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NPI Number | 1891955316
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Entity Type | Organization
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Legal Business Name | ASHFORD, SIMMONS, & YOUNG COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 1825 SAINT JULIAN PL
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City | COLUMBIA
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State | SC
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Zip | 29204-2424
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Country | US
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Telephone | 803-254-1210
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Fax | 803-254-4510
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Provider Business Mailing Address
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Address Line | 1825 SAINT JULIAN PL
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City | COLUMBIA
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State | SC
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Zip | 29204-2424
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Country | US
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Telephone | 803-254-1210
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Fax | 803-254-4510
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Authorized Official
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Title or Position | PARTNER/COUNSELOR
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Name | MR. CHRISTOPHER M YOUNG
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Credential | M.E.D, M.A.
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Telephone | 803-254-1210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | GP3862
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License Number State | SC
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