Individual
ANGEL N MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1000 HEALTH CTR RD, KYLE, SD 57752
(605) 455-8202
Mailing address
BIA HWY 27, GENERAL DELIVERY, PORCUPINE, SD 57772
(605) 646-2469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CMH0192171
NM
101YM0800X
Mental Health Counselor
Primary
LPC20628
SD
101YM0800X
Mental Health Counselor
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500743876
—
OR
Enumeration date
05/14/2018
Last updated
01/21/2021
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