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Individual
OBETTA MILO
Active
Individual
OBETTA MILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LPC, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13047
TX
101YM0800X
Mental Health Counselor
74238
TX
101YP2500X
Professional Counselor
Primary
74238
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13047
LICENSED CHEMICAL DEPENDENCY COUNSELOR
TX
Enumeration date
04/02/2018
Last updated
12/08/2023
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