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General NPI Number Information
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NPI Number | 1194888941
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Entity Type | Individual
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Provider Name | PATRICIA LEE MILLS LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 3438 MENDOCINO AVE # B
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City | SANTA ROSA
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State | CA
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Zip | 95403-2275
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Country | US
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Telephone | 707-529-3721
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Fax | 707-900-8192
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Provider Business Mailing Address
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Address Line | 19950 JIGSAW RD
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City | HIDDEN VALLEY LAKE
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State | CA
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Zip | 95467-8516
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Country | US
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Telephone | 707-565-6900
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Fax | 707-565-1444
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 72998
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 167G00000X
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Taxonomy Name | Licensed Psychiatric Technician
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License Number | 30567
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 90335
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License Number State | CA
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