Provider Demographics
NPI:1447859228
Name:MILMAN, ARIANA FAWN (ND, LMHC)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:FAWN
Last Name:MILMAN
Suffix:
Gender:F
Credentials:ND, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 279
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:WA
Mailing Address - Zip Code:98812-0279
Mailing Address - Country:US
Mailing Address - Phone:805-390-2015
Mailing Address - Fax:
Practice Address - Street 1:3007 6TH AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-6202
Practice Address - Country:US
Practice Address - Phone:253-210-3211
Practice Address - Fax:253-210-3212
Is Sole Proprietor?:No
Enumeration Date:2020-10-22
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMCLH61511501101YM0800X
WANT61123410175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health