Doctor Name: | MRS. DEBRA ANN MILLMAN |
NPI Number: | 1104066893 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 4177-125 |
Business Practice Address: | 4915 Monona Dr Suite 305 Monona, WI - 537162665 |
Business Phone Number: | 6082231506 |
Business Fax Number: | 6082231745 |
Mailing Address: | 4915 Monona Dr, Suite 305 MONONA |
State: | WI |
Postal Code: | 537162665 |
Phone Number: | 6082231506 |
Fax Number: | 6082231745 |
NPI Enumeration Date: | 02/20/2009 |
NPI Last Update Date: | 02/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4177-125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |