Individual
MRS. ANN LK MILLIKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2016 VADALABENE DR, SUITE A, MARYVILLE, IL 62062-6901
(618) 604-1696
(618) 288-0737
Mailing address
515 ACORN WAY, LEBANON, IL 62254
(618) 537-6337
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180003680
IL
Other
Enumeration date
08/30/2006
Last updated
02/06/2012
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