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Individual

CARL D MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
238 SUMMAR DR, JACKSON, TN 38301-3906
(731) 935-8200
(731) 935-8327
Mailing address
1804 HIGHWAY 45 BYP, STE 604, JACKSON, TN 38305-4436
(731) 660-8755

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
054
TN
106H00000X
Marriage & Family Therapist
0054
TN

Other

Enumeration date
06/30/2006
Last updated
08/05/2009
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