Most Relevant Information
Provider Data
NPI Number: | 1003240011 |
Provider Name: | MELISSA ANN MCMILLEN LMHC |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 08/27/2013 |
Last Updated: | 09/10/2020 |
Provider Practice Location
919 E 2ND ST
SANFORD
FL
327712101
Practice Location Phone/Fax
Phone: | 4073232036 |
Fax: |
Provider Mailing Location
1703 W COLONIAL DR
ORLANDO
FL
328047000
Provider Mailing Phone/Fax
Phone: | 4072199304 |
Fax: |