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General NPI Number Information
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NPI Number | 1407821978
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Entity Type | Individual
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Provider Name | DARLENE SUE KELLEY LPCC CCDCIII
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Gender | Female
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Dates
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Enumeration Date | 02/20/2006
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Last Update Date | 03/26/2020
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Provider Practice Location Address
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Address Line | 2211 FULTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45206-2504
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Country | US
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Telephone | 513-961-4663
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Fax |
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Provider Business Mailing Address
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Address Line | 48 SPRINGSIDE DR
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City | COLD SPRING
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State | KY
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Zip | 41076-1900
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Country | US
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Telephone | 859-760-2229
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | E943900
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 103162
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1536
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License Number State | KY
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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 | E280
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License Number State | OH
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