MEDICARE: ALEXIS MILNER

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	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1306483607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS MILNER

Provider Business Mailing Address
First Line	:	1470 NEW DANVILLE PIKE APT D
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-9214
Country	:	US
Telephone Number	:	724-506-0163
Fax Number	:

Provider Business Practice Location Address
First Line	:	1470 NEW DANVILLE PIKE APT D
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-9214
Country	:	US
Telephone Number	:	724-506-0163
Fax Number	:

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

Provider Enumeration Date	:	12/05/2019
Last Update Date	:	12/05/2019

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Directions to “ ALEXIS MILNER ” Practice Location

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