Individual provider · Type 1 NPI
Matthew Duane Millican, MA, LPC
Mental Health Counselor · Nampa, ID
NPI number
1316480973
Active
Practice location
123 Mcclure Ave
Nampa, ID 83651-2057
Mailing address
1207 SW 2nd Ave
Ontario, OR 97914-4512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC-6347 (ID) |
Mental Health Counselor: Definition to come...
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About NPI 1316480973
Matthew Duane Millican, MA, LPC's National Provider Identifier is 1316480973, issued on Nov 29, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Nampa, ID. The record was last updated on Nov 29, 2016.