Individual
DR. PEGGY LOU MCMILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D CSAC11
Contact information
Practice address
1109 JONES ST, KENNETT, MO 63857-3824
(573) 888-6545
(573) 888-2369
Mailing address
1109 JONES ST, KENNETT, MO 63857-3824
(573) 888-6545
(573) 888-2369
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3211
MO
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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