Provider Demographics
NPI:1174934996
Name:MILESTONE COUNSELING INC.
Entity type:Organization
Organization Name:MILESTONE COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GRETA
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:320-774-1621
Mailing Address - Street 1:630 ROOSEVELT RD
Mailing Address - Street 2:SUITE #104
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-6368
Mailing Address - Country:US
Mailing Address - Phone:320-774-1621
Mailing Address - Fax:320-774-1624
Practice Address - Street 1:630 ROOSEVELT RD
Practice Address - Street 2:SUITE #104
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-4867
Practice Address - Country:US
Practice Address - Phone:320-774-1621
Practice Address - Fax:320-774-1624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP 1272103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty