Individual
AMY MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 E 41ST ST, SUITE 1120, TULSA, OK 74135-2527
(918) 660-3150
Mailing address
15605 E 112TH ST N, OWASSO, OK 74055-6089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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