Individual
KEVIN MILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 BROAD ST, WICHITA FALLS, TX 76301-2219
(940) 500-4903
(940) 500-4906
Mailing address
207 BROAD ST, WICHITA FALLS, TX 76301-2219
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15175
TX
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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