Individual
MS. KIM M. MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
154 LAKESIDE DRIVE, CANTON, GA 30115
(404) 323-8933
Mailing address
248 DANBURG COURT, JASPER, GA 30143
(404) 323-8933
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/04/2011
Last updated
10/01/2014
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