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General NPI Number Information
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NPI Number | 1922802461
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Entity Type | Individual
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Provider Name | CARMEN NICOLE YOUNG NCE/NCSC
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Gender | Female
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 449 BROWN ST
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City | PURVIS
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State | MS
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Zip | 39401
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Country | US
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Telephone | 601-794-1097
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 ROSEWOOD DR
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City | HATTIESBURG
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State | MS
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Zip | 39401-4521
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Country | US
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Telephone | 601-307-6536
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 193676
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License Number State | MS
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