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General NPI Number Information
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NPI Number | 1649144429
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Entity Type | Individual
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Provider Name | KAYCI JO WENDLAND LPCC, LADC
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Gender | Female
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 416 N 1ST ST
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City | MONTEVIDEO
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State | MN
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Zip | 56265-1408
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Country | US
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Telephone | 320-441-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1424 N 6TH ST
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City | MONTEVIDEO
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State | MN
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Zip | 56265-1102
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Country | US
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Telephone |
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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 | CC05116
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License Number State | MN
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