Individual
CARY A MCMILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, CDCA
Contact information
Practice address
1404 PARK AVE W STE 2, ONTARIO, OH 44906-2719
(419) 522-6191
Mailing address
1404 PARK AVE W STE 2, ONTARIO, OH 44906-2719
(419) 522-6191
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1700080
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
164484
OH
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/12/2017
Last updated
10/24/2023
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