Provider Demographics
NPI:1043464977
Name:MILLA, NANCY ANN (MFT)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:ANN
Last Name:MILLA
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2360 E BIDWELL ST
Mailing Address - Street 2:STE. 107
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3406
Mailing Address - Country:US
Mailing Address - Phone:916-220-2951
Mailing Address - Fax:916-983-1981
Practice Address - Street 1:2360 E BIDWELL ST
Practice Address - Street 2:STE. 107
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3406
Practice Address - Country:US
Practice Address - Phone:916-220-2951
Practice Address - Fax:916-983-1981
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC39242106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist