Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | MI |
NPI | 1295054302 |
---|---|
Provider Name | Ms. Linda Lou Millek |
First Address | Gobles, MI 49055 |
Second Address | Gobles, MI 49055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2010 |
Last Update Date | 28/05/2010 |