RUTH MILLICAN - NPI NUMBER 1346472305

Summary

Provider Name: RUTH MILLICAN

NPI Number: 1346472305

Clasification: Counselor (101YM0800X)

Specialization: Mental Health

Organization: COMMUNITY RESEARCH FOUNDATION INC

Address:
1963 4TH AVE
SAN DIEGO, CA
ZIP 92101

Phone Number: (619) 233-3432



Detailed Information

Ruth Millican is a mental health counselor in San Diego, CA with 3 years of experience. The assigned NPI number for this provider is 1346472305 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

1963 4TH AVE
SAN DIEGO, CA
ZIP 92101-394
Phone: (619) 233-3432
Fax: (619) 233-7022

The enumeration date for this NPI number is 8/10/2009 and was last updated on 11/14/2012.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 101YM0800X Counselor Mental Health No
2 103T00000X Psychologist PSY25354 CA Yes

NPI Record

No. Field Name Field Value
1 NPI 1346472305
2 Entity Type Code 1
3 Provider Last Name Legal Name MILLICAN
4 Provider First Name RUTH
5 Provider First Line Business Practice Location Address 1963 4TH AVE
6 Provider Business Practice Location Address City Name SAN DIEGO
7 Provider Business Practice Location Address State Name CA
8 Provider Business Practice Location Address Postal Code 921012394
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 6192333432
11 Provider Business Practice Location Address Fax Number 6192337022
12 Provider Enumeration Date 8/10/2009
13 Last Update Date 11/14/2012
14 Provider Gender Code F
15 Healthcare Provider Taxonomy Code 1 101YM0800X
16 Healthcare Provider Primary Taxonomy Switch 1 N
17 Healthcare Provider Taxonomy Code 2 103T00000X
18 Provider License Number 2 PSY25354
19 Provider License Number State Code 2 CA
20 Healthcare Provider Primary Taxonomy Switch 2 Y
21 Is Sole Proprietor N

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.