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General NPI Number Information
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NPI Number | 1316108863
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Entity Type | Individual
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Provider Name | DEBRA MILLS LMHC, LADC-I
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Gender | Female
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 03/27/2019
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Provider Practice Location Address
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Address Line | 204 LAFAYETTE ST
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City | SALEM
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State | MA
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Zip | 01970-4721
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Country | US
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Telephone | 603-531-3704
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Fax | 978-564-7541
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Provider Business Mailing Address
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Address Line | 204 LAFAYETTE ST
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City | SALEM
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State | MA
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Zip | 01970-4721
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Country | US
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Telephone | 603-531-3704
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Fax | 978-564-7541
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 11340
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LADC: 649
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCMHC: 729
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8649
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License Number State | MA
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