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NPI Code Detail

MEDICARE: MILAGRO DARBY

MEDICARE: MILAGRO DARBY
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

General Provider Information

NPI Number : 1588505150
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILAGRO DARBY
Provider Business Mailing Address
First Line : 5610 LAKE OTIS PKWY APT G151
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-1779
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4600 ABBOTT RD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-4314
Country : US
Telephone Number : 907-346-2101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ MILAGRO DARBY ” Practice Location

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