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General NPI Number Information
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NPI Number | 1952182271
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Entity Type | Individual
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Provider Name | KRISTEN ASHLEY EL YAOUTI LCPC
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Gender | Female
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Dates
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Enumeration Date | 10/12/2023
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 18711 GINGER CT
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City | GERMANTOWN
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State | MD
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Zip | 20874-2021
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Country | US
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Telephone | 240-242-5492
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Fax |
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Provider Business Mailing Address
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Address Line | 17 GAP HILL DR
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City | FLETCHER
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State | NC
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Zip | 28732-9444
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Country | US
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Telephone | 240-242-5492
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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 | 101200000X
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Taxonomy Name | Drama Therapist
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License Number | NADTA929
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License Number State | MD
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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 | LC16685
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License Number State | MD
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