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General NPI Number Information
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NPI Number | 1598083065
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Entity Type | Individual
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Provider Name | MARYANN MILLETTE LPC
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Gender | Female
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Dates
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Enumeration Date | 05/09/2010
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 85 N MAIN ST UNIT 88
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City | EAST HAMPTON
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State | CT
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Zip | 06424-1463
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Country | US
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Telephone | 860-716-5485
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Fax |
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Provider Business Mailing Address
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Address Line | 85 N MAIN ST UNIT 88
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City | EAST HAMPTON
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State | CT
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Zip | 06424-1463
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Country | US
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Telephone | 860-716-5485
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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 | 002577
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License Number State | CT
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