Basic Information
| Provider Information | |||||||||
| NPI: | 1942798038 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MILLET | ||||||||
| FirstName: | FRANCISCA | ||||||||
| MiddleName: | GILENE | ||||||||
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| Credential: | MSED. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 380 SW 12TH AVE | ||||||||
| Address2: | |||||||||
| City: | POMPANO BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330693502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9547829774 | ||||||||
| FaxNumber: | 9547823843 | ||||||||
| Practice Location | |||||||||
| Address1: | 380 SW 12TH AVE | ||||||||
| Address2: | |||||||||
| City: | POMPANO BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330693502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9547829774 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2018 | ||||||||
| LastUpdateDate: | 04/25/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.