Individual
MRS. MONICA LYNN MCMILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1018 KANAWHA BLVD E, SUITE 900, CHARLESTON, WV 25301-2841
(304) 720-1060
(304) 720-0290
Mailing address
1018 KANAWHA BLVD E, SUITE 900, CHARLESTON, WV 25301-2841
(304) 720-1060
(304) 720-0290
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1000
WV
103TB0200X
Cognitive & Behavioral Psychologist
1000
WV
103TC0700X
Clinical Psychologist
1000
WV
103TC1900X
Counseling Psychologist
1000
WV
103TC2200X
Clinical Child & Adolescent Psychologist
1000
WV
103TF0000X
Family Psychologist
1000
WV
Other
Enumeration date
08/10/2010
Last updated
04/10/2014
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