Doctor Name: | MS. LINDA LOU MILLEK |
NPI Number: | 1295054302 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.S. CMT, C.HT. |
License Number: | |
Business Practice Address: | 18575 32nd St Gobles, MI - 49055 |
Business Phone Number: | 2696280202 |
Business Fax Number: | 2696280202 |
Mailing Address: | 18575 32nd St, GOBLES |
State: | MI |
Postal Code: | 49055 |
Phone Number: | 2696280202 |
Fax Number: | 2696280202 |
NPI Enumeration Date: | 05/28/2010 |
NPI Last Update Date: | 05/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |