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Organization
CARISSA MILLER
Active
Organization
CARISSA MILLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARISSA MILLER LCSW (SOLE PROPRIETOR)
(812) 697-2107
Entity
Organization
Contact information
Practice address
825 N HIGHWAY 31, AUSTIN, IN 47102-1830
(812) 697-2107
Mailing address
2818 SANDALWOOD DR, NEW ALBANY, IN 47150-9464
(812) 697-2107
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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