Provider Demographics
NPI:1932316064
Name:MILLINGTON, CARA ADELE (MA)
Entity Type:Individual
Prefix:MS
First Name:CARA
Middle Name:ADELE
Last Name:MILLINGTON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3626 KINGS HWY
Mailing Address - Street 2:APT 6G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-2748
Mailing Address - Country:US
Mailing Address - Phone:718-415-9339
Mailing Address - Fax:
Practice Address - Street 1:140 JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-2629
Practice Address - Country:US
Practice Address - Phone:718-782-6234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health