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NPI Code Detail

MEDICARE: KAREN E MCMILLAN LCDC

MEDICARE: KAREN E MCMILLAN LCDC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor7792TX

General Provider Information

NPI Number : 1831420181
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN E MCMILLAN LCDC
Provider Business Mailing Address
First Line : 239 S VIRGINIA ST
Second Line :
City : STEPHENVILLE
State : TX
Zip : 76401-4344
Country : US
Telephone Number : 254-965-5515
Fax Number : 254-965-7416
Provider Business Practice Location Address
First Line : 118 W HEARD ST
Second Line :
City : CLEBURNE
State : TX
Zip : 76033-3836
Country : US
Telephone Number : 817-645-5517
Fax Number : 817-645-5715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2010
Last Update Date : 04/26/2026

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Directions to “ KAREN E MCMILLAN LCDC” Practice Location

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