Individual
MRS. MELISSA D MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
204 MILLER LN, CLAXTON, GA 30417-6436
(912) 237-3480
Mailing address
PO BOX 1021, CLAXTON, GA 30417-1021
(912) 237-3480
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006814
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003127728A
—
GA
Enumeration date
06/11/2012
Last updated
07/18/2022
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