TINA MARIE MILAN

SHASTA LAKE, CA
NPI1225470081
Other NameTINA MARIE FISHER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  LCSW88858)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  ASW35034)
101YM0800X Counselor, Mental Health
(Licence: CA  88858)
1041C0700X Social Worker, Clinical
(Licence: CA  00279697)
Enumeration Date2013-07-22
Last Update Date2022-08-12
Business Address
TINA MARIE MILAN LCSW
4300 FORT PECK ST
SHASTA LAKE, CA 96019-9286
Phone number: 530-338-0087
Mailing Address
TINA MARIE MILAN LCSW
PO BOX 1423
SHASTA LAKE, CA 96019-1423
Phone number: 530-528-2342