Cary A Mcmillin, LSW, CDCA

NPI #1710492855 in Ontario, Ohio

Provider Information

NPI Number: 1710492855
Entity Type: Individual
Name: Cary A Mcmillin, LSW, CDCA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW, CDCA
Enumeration Date: Dec 12, 2017
Last Updated: Oct 24, 2023

Practice Location

Address: 1404 PARK AVE W STE 2
City: Ontario
State: Ohio
ZIP Code: 44906-2719
Phone: (419) 522-6191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker	104100000X	Primary

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