Individual
EDWARD LEIGH MCMILLAN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHCA
Contact information
Practice address
41 N RICE ST, BREVARD, NC 28712-3431
(251) 363-3906
Mailing address
41 N RICE ST, BREVARD, NC 28712-3431
(251) 363-3906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A18972
NC
Other
Enumeration date
09/08/2023
Last updated
01/15/2025
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