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NPI Code Detail

MEDICARE: CANDICE RENEE MILLIGAN MS. NCC, LPC

MEDICARE: CANDICE RENEE MILLIGAN MS. NCC, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorTN

General Provider Information

NPI Number : 1003475526
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE RENEE MILLIGAN MS. NCC, LPC
Provider Business Mailing Address
First Line : 7209 HAMILTON ACRES CIR
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-8623
Country : US
Telephone Number : 423-645-5690
Fax Number :
Provider Business Practice Location Address
First Line : 423 CENTRAL AVE NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37311-4923
Country : US
Telephone Number : 423-645-5690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2019
Last Update Date : 01/04/2021

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