Individual
AMY L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
839 KEELING RD, NORTH POLE, AK 99705-5036
(907) 750-5983
Mailing address
542 4TH AVE STE B101, FAIRBANKS, AK 99701-4707
(907) 374-1097
(907) 374-1062
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
05/07/2019
Last updated
03/06/2020
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