Individual
HEATHER MCMILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
775 LEXINGTON AVE, MANSFIELD, OH 44907-1906
(419) 774-4010
(419) 774-4014
Mailing address
775 LEXINGTON AVE, MANSFIELD, OH 44907-1906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S.1802146
OH
Other
Enumeration date
10/11/2016
Last updated
12/19/2019
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