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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TINA MARIE MILAN, LCSW

Active Sole Proprietor

TINA MARIE MILAN, LCSW is a Mental Health Counselor healthcare provider located in SHASTA LAKE, California. NPI 1225470081 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · SHASTA LAKE, CA

Registration Details

NPI Number
1225470081
Provider Type
Individual
Gender
Female
NPI Issued
Jul 22, 2013 (13.037954720134 yrs)
Last Updated
Aug 12, 2022
Licenses
ASW35034 (CA)
88858 (CA)
00279697 (CA)
LCSW88858 (CA)
Sole Proprietor
Yes

Practice Information

Address
4300 FORT PECK ST
SHASTA LAKE, CA, 960199286
Browse CA providers · Browse ZIP 96019
Phone
5303380087
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor
Additional Specialty
Clinical Social Worker
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in SHASTA LAKE, CA

Name Credential NPI
GLORIA RICHMOND LMFT 1821696659
WALLACE JAY SPINKS 1285517409
HEATHER LAND 1316892755
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.