Provider Demographics
NPI:1558453076
Name:MILIA, DIANE HOFFMAN (MA LPC LCAT ATR-BC)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:HOFFMAN
Last Name:MILIA
Suffix:
Gender:F
Credentials:MA LPC LCAT ATR-BC
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:
Other - Last Name:MILIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA LPC LCAT ATR-BC
Mailing Address - Street 1:419 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-2211
Mailing Address - Country:US
Mailing Address - Phone:503-317-2245
Mailing Address - Fax:
Practice Address - Street 1:419 CENTER ST
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-2211
Practice Address - Country:US
Practice Address - Phone:503-317-2245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000093-1221700000X
ORC2327101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist