Provider Demographics
NPI:1427166180
Name:VETO, MILLIE DAWN (LMFT)
Entity type:Individual
Prefix:
First Name:MILLIE
Middle Name:DAWN
Last Name:VETO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MILLIE
Other - Middle Name:SIMMONS
Other - Last Name:VETO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:1 1/2 WEST GENEVA ST.
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:WI
Mailing Address - Zip Code:53121
Mailing Address - Country:US
Mailing Address - Phone:262-723-3424
Mailing Address - Fax:262-723-8308
Practice Address - Street 1:1 1/2 WEST GENEVA ST.
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:WI
Practice Address - Zip Code:53121
Practice Address - Country:US
Practice Address - Phone:262-723-3424
Practice Address - Fax:262-723-8308
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLMFT1387106H00000X
MNR1358997163W00000X
WI921-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No163W00000XNursing Service ProvidersRegistered Nurse