Provider Demographics
NPI:1457452344
Name:CHIN, MILIANNE KAU WUN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MILIANNE
Middle Name:KAU WUN
Last Name:CHIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1879 46TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-3913
Mailing Address - Country:US
Mailing Address - Phone:650-255-6657
Mailing Address - Fax:
Practice Address - Street 1:111 W EVELYN AVENUE
Practice Address - Street 2:106
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086
Practice Address - Country:US
Practice Address - Phone:650-255-6657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43408106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist