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Individual

MR. MATTHEW DAIL MCMILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS,LCAS, LCMHC, CCS

Contact information

Practice address
822 N ELM ST STE 109, GREENSBORO, NC 27401-1538
(336) 329-8506
(336) 510-4434
Mailing address
2618 BATTLEGROUND AVE, #321, GREENSBORO, NC 27408-1925
(336) 329-8506
(336) 510-4434

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
535
NC
101YP2500X
Professional Counselor
Primary
2489
NC

Other

Enumeration date
05/16/2006
Last updated
03/20/2020
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