Individual
JASON ROBERTS MILLIKAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
230 2ND ST STE 308, HENDERSON, KY 42420-3176
(270) 827-8671
Mailing address
232 W OBANNON ST, MORGANFIELD, KY 42437-1421
(270) 952-8905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171670
KY
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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