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Individual

MR. BRIAN MILLIKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT, LPCC

Contact information

Practice address
2074 GALISTEO ST STE B4, SANTA FE, NM 87505-2157
(505) 301-3408
Mailing address
3005 S SAINT FRANCIS DR STE 1D, SANTA FE, NM 87505-7004
(505) 301-3408
(866) 593-5859

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0157201
NM
106H00000X
Marriage & Family Therapist
0157981
NM

Other

Enumeration date
11/01/2008
Last updated
09/24/2021
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