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Individual
MILENA WEISENBORN
Active
Individual
MILENA WEISENBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701007751
VA
101Y00000X
Counselor
70580
TX
101YM0800X
Mental Health Counselor
0701007751
VA
101YM0800X
Mental Health Counselor
70580
TX
101YP2500X
Professional Counselor
Primary
0701007751
VA
101YP2500X
Professional Counselor
70580
TX
Other
Enumeration date
09/02/2018
Last updated
09/05/2019
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