Individual
HANNAH JEAN MILFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LCDC, NCC
Contact information
Practice address
1715 FM 1626 STE 103, MANCHACA, TX 78652-3549
(512) 657-5893
Mailing address
4003 MICA CV, AUSTIN, TX 78749-3183
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
66941
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
11541
TX
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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