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General NPI Number Information
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NPI Number | 1023929817
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Entity Type | Individual
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Provider Name | KELLEY LYNN MILLIONE LPC
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 412 N MAIN ST STE C
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City | MITCHELL
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State | SD
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Zip | 57301-2614
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Country | US
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Telephone | 304-365-3258
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Fax |
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Provider Business Mailing Address
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Address Line | 412 N MAIN ST STE C
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City | MITCHELL
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State | SD
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Zip | 57301-2614
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Country | US
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Telephone | 304-365-3258
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 3017
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC21263
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License Number State | SD
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