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Ms. Shirley Ann Millico
Mental Health Counselor in Watsonville, California
NPI 1306003611

Shirley Ann Millico is a Mental Health Counselor based in Watsonville, CA and is specialized in Mental Health. Shirley Ann Millico practices in Watsonville, CA. The NPI Number for Shirley Ann Millico is 1306003611 and holds a License No. (California).

The current practice location address for Shirley Ann Millico is 360 Crossroads Rd., Watsonville, CA and can be reached out via phone at 831-724-9333.

Location: 360 Crossroads Rd., Watsonville, CA, 95076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306003611
Provider Name
Shirley Ann Millico
Credential
Provider Entity Type
Individual
Gender
Female
Address
360 Crossroads Rd., Watsonville, CA, 95076
Phone Number
831-724-9333
Fax Number
Provider Enumeration Date
05/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ91892Z 01 CA SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
institution
Provider Business Practice Location Address Details
Address
360 Crossroads Rd.
City
Watsonville
State
California
Zip
95076
Phone Number
831-724-9333
Fax Number
person
Provider Business Mailing Address Details
Address
360 Crossroads Rd.
City
Watsonville
State
California
Zip
95076
Phone Number
831-724-9333
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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