Individual
CHARLES MCMILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 E MARKET ST, INDIANAPOLIS, IN 46204-3250
(317) 551-5609
Mailing address
120 E MARKET ST STE 480, INDIANAPOLIS, IN 46204-3288
(317) 551-5609
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
11/18/2020
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