Individual
DEBORAH ANN MCMILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
627 N. MORTON ST., SUITE 203, BLOOMINGTON, IN 47404-3778
(812) 339-9799
(812) 339-9799
Mailing address
627 N. MORTON ST., SUITE 203, BLOOMINGTON, IN 47404-3778
(812) 339-9799
(812) 339-9799
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34003928A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215786
ANTHEM BC/BS
IN
Enumeration date
08/16/2006
Last updated
07/08/2007
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