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Individual
STEPHANIE MILLER
Active
Individual
STEPHANIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDCIII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
161312
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.162302
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.162457
OH
101YM0800X
Mental Health Counselor
QMHS
OH
104100000X
Social Worker
S.2208256
OH
171M00000X
Case Manager/Care Coordinator
CMS
OH
Other
Enumeration date
11/17/2017
Last updated
08/30/2023
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