Provider Demographics
NPI:1710045455
Name:GARCIA, MILO FRANK (LPC)
Entity Type:Individual
Prefix:
First Name:MILO
Middle Name:FRANK
Last Name:GARCIA
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 N MAIN ST
Mailing Address - Street 2:SUITE I
Mailing Address - City:RICHFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84701-2168
Mailing Address - Country:US
Mailing Address - Phone:435-896-5165
Mailing Address - Fax:435-304-3044
Practice Address - Street 1:108 N MAIN ST
Practice Address - Street 2:SUITE I
Practice Address - City:RICHFIELD
Practice Address - State:UT
Practice Address - Zip Code:84701-2168
Practice Address - Country:US
Practice Address - Phone:435-896-5165
Practice Address - Fax:435-304-3044
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT368809-6004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional