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NPI Code Detail

MEDICARE: VANESSA MILLS LPC

MEDICARE: VANESSA MILLS LPC
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
1101YP2500XProfessional CounselorLPC-15988AZ

General Provider Information

NPI Number : 1861856221
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA MILLS LPC
Provider Business Mailing Address
First Line : 3349 S TWILIGHT ECHO RD
Second Line :
City : TUCSON
State : AZ
Zip : 85735-5120
Country : US
Telephone Number : 520-261-1003
Fax Number :
Provider Business Practice Location Address
First Line : 145 E UNIVERSITY BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85705-7738
Country : US
Telephone Number : 520-261-1003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2016
Last Update Date : 04/11/2016

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Directions to “ VANESSA MILLS LPC” Practice Location

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