Individual
MARLENE MILNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
460 SAINT MICHAELS DR, SUITE 806, SANTA FE, NM 87505-7619
(505) 992-0226
Mailing address
16 PRAIRIE CREST DR, SANTA FE, NM 87508-1315
(505) 474-6368
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0102061
NM
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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