MEDICARE: MS. APRIL LEE MILBURN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101Y00000X	Counselor
3	172V00000X	Community Health Worker
4	106H00000X	Marriage & Family Therapist	138902	CA

General Provider Information

NPI Number	:	1518497866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. APRIL LEE MILBURN

Provider Business Mailing Address
First Line	:	PO BOX 4395
Second Line	:
City	:	HAYWARD
State	:	CA
Zip	:	94540-4395
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	27000 TYRRELL AVE
Second Line	:
City	:	HAYWARD
State	:	CA
Zip	:	94544-3826
Country	:	US
Telephone Number	:	510-723-3935
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2017
Last Update Date	:	01/03/2024

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