Tina Marie Milan, LCSW | |
4300 Fort Peck St, Shasta Lake, CA 96019-9286 | |
(530) 338-0087 | |
Not Available |
Full Name | Tina Marie Milan |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 4300 Fort Peck St, Shasta Lake, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1225470081 | NPI | - | NPPES |
Entity Name | Parish Health And Wellness Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215472428 PECOS PAC ID: 4880941426 Enrollment ID: O20180727001058 |
Mailing Address | Practice Location Address |
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Tina Marie Milan, LCSW Po Box 1423, Shasta Lake, CA 96019-1423 Ph: (530) 528-2342 | Tina Marie Milan, LCSW 4300 Fort Peck St, Shasta Lake, CA 96019-9286 Ph: (530) 338-0087 |
Wallace Jay Spinks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1405 Grand River Ave, Shasta Lake, CA 96019 Phone: 530-225-5556 | |
Mrs. Kathryn Jocelyn Nuss, CASII, NCACI Counselor Medicare: Not Enrolled in Medicare Practice Location: 5010 Shasta Dam Blvd, Shasta Lake, CA 96019 Phone: 530-275-1076 Fax: 530-275-1076 | |
Gloria Richmond, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 5149 Front St, Shasta Lake, CA 96019 Phone: 530-329-0780 | |
Mr. Tracy Daniel Campbell, CAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5010 Shasta Dam Blvd, Shasta Lake, CA 96019 Phone: 530-275-1076 Fax: 530-275-3717 |