Individual
ELLEN TRACY MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.C.C.
Contact information
Practice address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
(419) 557-5179
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
(419) 557-5179
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E. 0501220
OH
Other
Enumeration date
11/16/2009
Last updated
12/13/2023
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