Individual
DIANE MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, UNDER LMFT SUPER
Contact information
Practice address
231 SEABROOK RD, ADA, OK 74820-1006
(580) 436-1222
Mailing address
231 SEABROOK RD, ADA, OK 74820-1006
(580) 436-1222
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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