Miriam Mackillop, LPC
NPI #1003599879 in Gloucester, Virginia
Provider Information
- NPI Number
- 1003599879
- Entity Type
- Individual
- Name
- Miriam Mackillop, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Aug 9, 2023
- Last Updated
- Aug 9, 2023
Practice Location
- Address
- 9228 GEORGE WASHINGTON MEMORIAL HWY
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061-4162
- Phone
- (804) 695-8120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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