Organization
BRIAN S MILLS, PHD., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARNETTA DEWEES (BILLING SPECIALIST)
(316) 867-3800
Entity
Organization
Contact information
Practice address
6525 E MAINSGATE RD, WICHITA, KS 67226-1062
(316) 867-3800
Mailing address
6525 E MAINSGATE RD, WICHITA, KS 67226-1062
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003029588
LCPC
KS
Enumeration date
03/07/2020
Last updated
03/07/2020
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