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General NPI Number Information
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NPI Number | 1710251293
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Entity Type | Individual
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Provider Name | KAYLA RENEE MILSTEAD LPC
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Gender | Female
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 01/04/2021
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Provider Practice Location Address
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Address Line | 501 EDGEWOOD DRIVE PINEVILLE JUNIOR HIGH SCHOOL
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City | PINEVILLE
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State | LA
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Zip | 71360
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Country | US
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Telephone | 318-640-1359
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Fax | 318-640-1420
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Provider Business Mailing Address
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Address Line | 154 FORTUNE LOOP
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City | PINEVILLE
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State | LA
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Zip | 71360-9749
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Country | US
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Telephone | 318-640-1359
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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