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NPI Code Detail

MEDICARE: CHRISTY MILLS MA

MEDICARE: CHRISTY MILLS MA
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 CounselorNLC.0109871CO

General Provider Information

NPI Number : 1518587195
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY MILLS MA
Provider Business Mailing Address
First Line : 30252 SPRUCE RD
Second Line :
City : EVERGREEN
State : CO
Zip : 80439-8734
Country : US
Telephone Number : 303-250-4749
Fax Number :
Provider Business Practice Location Address
First Line : 420 E 58TH AVE STE 210
Second Line :
City : DENVER
State : CO
Zip : 80216-1400
Country : US
Telephone Number : 720-928-1450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2020
Last Update Date : 04/23/2020

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Directions to “ CHRISTY MILLS MA” Practice Location

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