Individual provider · Type 1 NPI

Jerico Page McMillon, BA, CACIII

Addiction (Substance Use Disorder) Counselor · Thornton, CO

NPI number 1750625463 Active

Practice location

8801 Lipan St
Thornton, CO 80260-4912

Fax (303) 412-3430

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6425 (CO)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1750625463

Jerico Page McMillon, BA, CACIII's National Provider Identifier is 1750625463, issued on Nov 19, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Thornton, CO. The record was last updated on Nov 19, 2012.