Individual provider · Type 1 NPI

Mary Darlene Millicent, LICSW

Mental Health Counselor · Brainerd, MN

NPI number 1649547589 Active

Practice location

520 NW 5th St
Brainerd, MN 56401-2902

Call (218) 829-3235 Map

Mailing address

11 1st St SE, PO Box 32
Rice, MN 56367-8857

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X16030 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1649547589

Mary Darlene Millicent, LICSW's National Provider Identifier is 1649547589, issued on Nov 21, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brainerd, MN. The record was last updated on Nov 21, 2011.