Doctor Name: | CONSTANCE M MILLAND |
NPI Number: | 1053678045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, MS |
License Number: | |
Business Practice Address: | 724 Phillips St Ste A Stroudsburg, PA - 183602242 |
Business Phone Number: | 5705170892 |
Business Fax Number: | 5704766466 |
Mailing Address: | 724 Phillips St Ste A, STROUDSBURG |
State: | PA |
Postal Code: | 183602242 |
Phone Number: | 5705170892 |
Fax Number: | 5704766466 |
NPI Enumeration Date: | 04/16/2012 |
NPI Last Update Date: | 04/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |