Individual
OLAN RAY MILLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
7117 BRUSH CREEK RD, FAIRVIEW, TN 37062-9148
(615) 799-9639
Mailing address
7117 BRUSH CREEK RD, FAIRVIEW, TN 37062-9148
(615) 799-9639
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC0000000419
TN
Other
Enumeration date
07/08/2016
Last updated
10/18/2016
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