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Individual
LARA K MILLER
Active
Individual
LARA K MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4679
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13726
BCBS
NC
01
—
333775
MHN
NC
01
—
383677622002
TRICARE(PRIME)
NC
05
—
6102419
—
NC
Enumeration date
02/13/2007
Last updated
07/09/2007
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