| Doctor Name: | MRS. TONIA CASEN MCMILLAN |
| NPI Number: | 1013131044 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B.S. |
| License Number: | |
| Business Practice Address: | 212 Blue Ball Ave Elkton, MD - 219215222 |
| Business Phone Number: | 4106206077 |
| Business Fax Number: | 4106206081 |
| Mailing Address: | 212 Blue Ball Ave, ELKTON |
| State: | MD |
| Postal Code: | 219215222 |
| Phone Number: | 4106206077 |
| Fax Number: | 4106206081 |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |