Individual
CHAD MACMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 N 3RD ST STE 220, WAUSAU, WI 54403-4857
(715) 204-4260
Mailing address
910 CHARLES ST, EDGAR, WI 54426-9266
(715) 297-3752
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
Primary
3937
WI
Other
Enumeration date
08/14/2018
Last updated
05/10/2021
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