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NPI Code Detail

MEDICARE: MEGAN MILLOT

MEDICARE: MEGAN MILLOT
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
2101YA0400XAddiction (Substance Use Disorder) Counselor
3101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1437608551
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN MILLOT
Provider Business Mailing Address
First Line : 1520 LIBERTY AVE
Second Line :
City : NEENAH
State : WI
Zip : 54956-2725
Country : US
Telephone Number : 414-550-1180
Fax Number :
Provider Business Practice Location Address
First Line : 502 E NEW YORK AVE
Second Line :
City : OSHKOSH
State : WI
Zip : 54901-3938
Country : US
Telephone Number : 414-550-1180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2016
Last Update Date : 07/17/2025

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