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General NPI Number Information
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NPI Number | 1821745969
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Entity Type | Individual
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Provider Name | KAYLA S MALONE LICDC, LPC
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Gender | Female
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 4304 OLD SCIOTO TRL
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City | PORTSMOUTH
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State | OH
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Zip | 45662-6672
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Country | US
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Telephone | 740-351-9298
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Fax |
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Provider Business Mailing Address
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Address Line | 1021 FAIRVIEW AVE
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City | WEST PORTSMOUTH
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State | OH
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Zip | 45663-5912
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Country | US
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Telephone | 937-657-5275
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C.2305261-TRNE
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.181996
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCDCII.161970
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C.2506784
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LICDC.162767
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License Number State | OH
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