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General NPI Number Information
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NPI Number | 1629107453
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Entity Type | Individual
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Provider Name | DEE ANN MCLELLAN-SAMS LCPC, LAC, CAMS II
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 11/02/2016
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Provider Practice Location Address
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Address Line | 2705 MAIN ST CHOICES-COMPASSIONATE CARE COUNSELING CENTER
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City | MILES CITY
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State | MT
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Zip | 59301
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Country | US
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Telephone | 406-951-0308
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Fax | 406-234-2692
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Provider Business Mailing Address
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Address Line | 2705 MAIN ST. CHOICES-COMPASSIONATE CARE COUNSELING CENTER
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City | MILES CITY
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State | MT
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Zip | 59301
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Country | US
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Telephone | 406-951-0308
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Fax | 406-234-2692
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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 | 455
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License Number State | AK
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