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General NPI Number Information
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NPI Number | 1386027449
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Entity Type | Individual
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Provider Name | KELLIE BARTON PHD, LCP, LCAC
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Gender | Female
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 309 HAPPY HOLLOW ST
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City | VERMILLION
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State | KS
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Zip | 66544-8633
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Country | US
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Telephone | 785-363-6012
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Fax | 785-363-6013
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Provider Business Mailing Address
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Address Line | 309 HAPPY HOLLOW ST
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City | VERMILLION
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State | KS
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Zip | 66544-8633
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Country | US
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Telephone | 785-363-6012
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Fax | 785-363-6013
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1503
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License Number State | KS
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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 | 748
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2618
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License Number State | KS
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