Individual
MRS. CORRIN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
5200 PARK RD STE 218-D1, CHARLOTTE, NC 28209-3650
(704) 800-4436
Mailing address
64 SIERRA ST, BELMONT, NC 28012-2202
(443) 831-3757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16615
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A16615
NC BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS
NC
Enumeration date
06/23/2021
Last updated
06/23/2021
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