Provider Demographics
NPI:1114570967
Name:MILANO, KANDE KOOGLE (LPC)
Entity Type:Individual
Prefix:
First Name:KANDE
Middle Name:KOOGLE
Last Name:MILANO
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 1:7544 BRIDGEFORD CT
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-5605
Mailing Address - Country:US
Mailing Address - Phone:513-484-6934
Mailing Address - Fax:
Practice Address - Street 1:8118 CORPORATE WAY STE 175
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-7504
Practice Address - Country:US
Practice Address - Phone:513-926-1316
Practice Address - Fax:513-676-1713
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-22
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2305383101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor