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General NPI Number Information
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NPI Number | 1922483692
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Entity Type | Individual
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Provider Name | NATASHA KAY YOUNG LPC
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Gender | Female
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Dates
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Enumeration Date | 07/23/2015
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 1200 HULEN DR
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City | COLUMBIA
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State | MO
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Zip | 65203-1419
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Country | US
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Telephone | 573-340-5057
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 104240
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City | JEFFERSON CITY
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State | MO
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Zip | 65110-4240
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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 | 2019028016
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License Number State | MO
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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 | 39002681A
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License Number State | IN
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