Individual
KURT MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2923 S TRYON ST, SUITE 220, CHARLOTTE, NC 28203-5852
(980) 333-5883
Mailing address
4307 GLENDURAN LN, WAXHAW, NC 28173-7132
(315) 408-3813
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A9823
NC
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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