Individual
CAROLINA MILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 S 43RD ST STE C, SAN DIEGO, CA 92113-3434
(619) 263-7768
(619) 262-5040
Mailing address
4859 COLE ST UNIT 31, SAN DIEGO, CA 92117-1861
(858) 692-1298
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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