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General NPI Number Information
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NPI Number | 1023774098
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Entity Type | Organization
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Legal Business Name | MILESTONE MENTAL HEALTH PSC
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Dates
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Enumeration Date | 11/12/2021
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 6230 10TH ST N STE 120
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City | OAKDALE
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State | MN
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Zip | 55128-6159
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Country | US
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Telephone | 651-500-2389
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Fax | 651-344-4375
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Provider Business Mailing Address
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Address Line | 6230 10TH ST N STE 120
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City | OAKDALE
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State | MN
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Zip | 55128-6159
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Country | US
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Telephone | 651-428-4073
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Fax | 651-344-4375
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Authorized Official
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Title or Position | MARRIAGE & FAMILY THERAPIST
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Name | RACHEL MILAN
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Credential | MA, LMFT
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Telephone | 651-428-4073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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