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NPI Code Detail

MEDICARE: HEATHER MILLIGAN-NEILSON

MEDICARE: HEATHER MILLIGAN-NEILSON
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
1101YM0800XMental Health Counselor
2106H00000XMarriage & Family TherapistMFT-4124NV
3172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1962933184
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER MILLIGAN-NEILSON
Provider Business Mailing Address
First Line : 580 W 5TH ST
Second Line :
City : RENO
State : NV
Zip : 89503-4407
Country : US
Telephone Number : 775-786-4673
Fax Number :
Provider Business Practice Location Address
First Line : 1920 E 4TH ST
Second Line :
City : RENO
State : NV
Zip : 89512-3705
Country : US
Telephone Number : 775-786-4673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2017
Last Update Date : 12/11/2025

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Directions to “ HEATHER MILLIGAN-NEILSON ” Practice Location

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