MEDICARE: MARLENE MILNER LADAC

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	0102061	NM

General Provider Information

NPI Number	:	1801017694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLENE MILNER LADAC

Provider Business Mailing Address
First Line	:	16 PRAIRIE CREST DR
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87508-1315
Country	:	US
Telephone Number	:	505-474-6368
Fax Number	:

Provider Business Practice Location Address
First Line	:	460 SAINT MICHAELS DR
Second Line	:	SUITE 806
City	:	SANTA FE
State	:	NM
Zip	:	87505-7619
Country	:	US
Telephone Number	:	505-992-0226
Fax Number	:

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

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1609808005 — ALSTON C LUNDGREN M.D.
Practice Location Address:

460 SAINT MICHAELS DR , STE. 801
SANTA FE, NM
87505-7619

Practice Phone: 505-986-0910
Practice Fax: 505-986-0904

1750489811 — CAROLINE KINGSTON MD
Practice Location Address:

460 SAINT MICHAELS DR , SUITE 1104
SANTA FE, NM
87505-7619

Practice Phone: 505-820-2562
Practice Fax: 505-795-7123

1215073903 — MS. ROSEMARY ELIZABETH DRISCOLL LPCC
Practice Location Address:

460 SAINT MICHAELS DR , SUITE 806
SANTA FE, NM
87505-7619

Practice Phone: 505-992-0226
Practice Fax: 505-989-1470

1518080944 — THE RIGHT STEP
Practice Location Address:

460 SAINT MICHAELS DR , SUITE 806
SANTA FE, NM
87505-7619

Practice Phone: 505-989-1470
Practice Fax:

1801015664 — HIGH DESERT HEMATOLOGY ONCOLOGY PC
Practice Location Address:

460 SAINT MICHAELS DR , SUITE 1204
SANTA FE, NM
87505-7619

Practice Phone: 505-983-4898
Practice Fax:

1558569913 — HIGH DESERT HEMATOLOGY-ONCOLOGY
Practice Location Address:

460 SAINT MICHAELS DR , SUITE 1204
SANTA FE, NM
87505-7619

Practice Phone: 505-983-4898
Practice Fax: 505-983-6209

Directions to “ MARLENE MILNER LADAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.