Provider Demographics
NPI:1043307408
Name:MILLOFF, INA (LPC)
Entity Type:Individual
Prefix:MS
First Name:INA
Middle Name:
Last Name:MILLOFF
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 E RIVER RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-5744
Mailing Address - Country:US
Mailing Address - Phone:520-326-5525
Mailing Address - Fax:520-320-3785
Practice Address - Street 1:1050 E RIVER RD
Practice Address - Street 2:SUITE 102
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-5744
Practice Address - Country:US
Practice Address - Phone:520-326-5525
Practice Address - Fax:520-320-3785
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-10069101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZLPC-10069OtherLICENSE