Provider Demographics
NPI:1225110976
Name:BENESKO-MILNER, NATALIA R (LMHC,MS,CADAC II)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:R
Last Name:BENESKO-MILNER
Suffix:
Gender:F
Credentials:LMHC,MS,CADAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 RAVINIA RD
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-2331
Mailing Address - Country:US
Mailing Address - Phone:765-743-7300
Mailing Address - Fax:765-743-7300
Practice Address - Street 1:1220 RAVINIA RD
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-2331
Practice Address - Country:US
Practice Address - Phone:765-743-7300
Practice Address - Fax:765-743-7300
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001495A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health