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Individual

DR. GARY K. MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1700 SOSCOL AVE, SUITE 25, NAPA, CA 94559-1351
(707) 963-1493
(707) 963-1463
Mailing address
1700 SOSCOL AVE, SUITE 25, NAPA, CA 94559-1351
(707) 963-1493
(707) 963-1463

Taxonomy

Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
PSY4876
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PSY4876
LICENSE
CA
Enumeration date
07/31/2006
Last updated
09/14/2012
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