Provider Demographics
NPI:1598326944
Name:MCMILLIN, CARA B (LMFT)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:B
Last Name:MCMILLIN
Suffix:
Gender:F
Credentials:LMFT
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 1323
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37662-1323
Mailing Address - Country:US
Mailing Address - Phone:423-765-8607
Mailing Address - Fax:
Practice Address - Street 1:441 CLAY ST STE 2
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-3693
Practice Address - Country:US
Practice Address - Phone:423-765-8607
Practice Address - Fax:423-247-1117
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN926106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist