Individual
MS. THERON MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. / L.P.C.
Contact information
Practice address
3073 S. CHASE AVE., SUITE 326, MILWAUKEE, WI 53207
(414) 881-8288
(414) 289-1175
Mailing address
3073 S. CHASE AVE., SUITE 326, MILWAUKEE, WI 53207
(414) 881-8288
(414) 289-1175
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2396-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396-47-600
—
WI
Enumeration date
03/09/2009
Last updated
03/09/2009
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