Provider Demographics
NPI:1669683561
Name:MILHADO, PETER RUDOLF (MFT MARRIAGE AND FAM)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:RUDOLF
Last Name:MILHADO
Suffix:
Gender:M
Credentials:MFT MARRIAGE AND FAM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 MARICOPA HWY
Mailing Address - Street 2:#264
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023
Mailing Address - Country:US
Mailing Address - Phone:805-640-1810
Mailing Address - Fax:
Practice Address - Street 1:1211 MARICOPA HWY
Practice Address - Street 2:#264
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023
Practice Address - Country:US
Practice Address - Phone:805-640-1810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT14142106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist