Individual
TOMHA MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LMFT
Contact information
Practice address
2403 CHIPPENHAM COURT, WINTERVILLE, NC 28590
(252) 412-6613
Mailing address
PO BOX 101, WINTERVILLE, NC 28590-0101
(252) 412-6613
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1239
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6105223
—
NC
Enumeration date
02/12/2008
Last updated
05/31/2011
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