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Individual
KASSANDRA MCMILLAN
Active
Individual
KASSANDRA MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
178016162
IL
171M00000X
Case Manager/Care Coordinator
178016162
IL
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
09/19/2019
Last updated
10/05/2020
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