Provider Demographics
NPI:1073932380
Name:MCMILLIN, JULIE (LCPC, LAC, MAC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:MCMILLIN
Suffix:
Gender:F
Credentials:LCPC, LAC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 33
Mailing Address - Street 2:
Mailing Address - City:BRIDGER
Mailing Address - State:MT
Mailing Address - Zip Code:59014-0033
Mailing Address - Country:US
Mailing Address - Phone:406-446-0337
Mailing Address - Fax:406-646-3020
Practice Address - Street 1:319 1ST AVE
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MT
Practice Address - Zip Code:59044-3031
Practice Address - Country:US
Practice Address - Phone:406-446-0337
Practice Address - Fax:406-646-3020
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-15
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT7777101YM0800X
MT3633101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty