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Individual

MEGAN MCMILLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
3121 BROOKLAWN CAMPUS DR, LOUISVILLE, KY 40218-1282
(502) 212-8360
Mailing address
301 WINTON AVE, LOUISVILLE, KY 40206-1513
(502) 551-3872

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1352
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100254670
KY
Enumeration date
10/06/2010
Last updated
07/21/2015
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