Provider Demographics
NPI:1760647119
Name:MILUM, DINA RACHELLE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:DINA
Middle Name:RACHELLE
Last Name:MILUM
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8521 BENDING BRANCH CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-5477
Mailing Address - Country:US
Mailing Address - Phone:904-760-0278
Mailing Address - Fax:
Practice Address - Street 1:8521 BENDING BRANCH CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-5477
Practice Address - Country:US
Practice Address - Phone:904-760-0278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH21768101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health