Individual
GABRADOR MILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
6 MATHIS ROAD, ROME, GA 30165
(706) 264-7904
(706) 235-1518
Mailing address
6 MATHIS ROAD, ROME, GA 30165
(706) 264-7904
(706) 235-1518
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NONE
—
101YM0800X
Mental Health Counselor
NONE
—
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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