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General NPI Number Information
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NPI Number | 1437223716
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Entity Type | Individual
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Provider Name | JOSEPH E. MILLS III MDIV.,MA,CADCII, MAC
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 11388 W OLYMPIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90064-1605
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Country | US
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Telephone | 310-268-2516
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Fax |
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Provider Business Mailing Address
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Address Line | 11388 W OLYMPIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90064-1605
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Country | US
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Telephone | 310-268-2516
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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 | A3614393
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License Number State | CA
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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 |
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License Number State |
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