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Justin Mcmillian
Peer Specialist in Tompkinsville, Kentucky
NPI 1740658129

Justin Mcmillian is a Peer Specialist based in Bowling Green, KY. Justin Mcmillian practices in Tompkinsville, KY. The NPI Number for Justin Mcmillian is 1740658129 and holds a License No. (Kentucky).

The current practice location address for Justin Mcmillian is 800 N Main St, Tompkinsville, KY and can be reached out via phone at 270-901-5000 and via fax at 270-487-5948. You can also correspond with Justin Mcmillian through the mailing address at 380 SUWANNEE TRAIL ST, BOWLING GREEN, KY - 42103-7956 (mailing address contact number: 270-901-5000).

Location: 800 N Main St, Tompkinsville, KY, 42103-7956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740658129
Provider Name
Justin Mcmillian
Credential
Provider Entity Type
Individual
Gender
Male
Address
800 N Main St, Tompkinsville, KY, 42103-7956
Phone Number
270-901-5000
Fax Number
270-487-5948
Provider Enumeration Date
09/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
800 N Main St
City
Tompkinsville
State
Kentucky
Zip
42167-1037
Phone Number
270-901-5000
Fax Number
270-487-5948
person
Provider Business Mailing Address Details
Address
380 Suwannee Trail St
City
Bowling Green
State
Kentucky
Zip
42103-7956
Phone Number
270-901-5000
Fax Number
270-842-5268
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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