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General NPI Number Information
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NPI Number | 1538843586
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Entity Type | Individual
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Provider Name | KAYLIA DANIELLE VANDERMILLION LPC
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Gender | Female
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 511 W DENVER ST
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City | GREENWOOD
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State | AR
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Zip | 72936-4013
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Country | US
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Telephone | 479-595-0333
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Fax |
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Provider Business Mailing Address
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Address Line | 1304 CHERRY ST
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City | VAN BUREN
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State | AR
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Zip | 72956-4543
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Country | US
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Telephone | 479-310-9096
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P2508010
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License Number State | AR
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