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Individual

ANNA MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A, NCC, LPC

Contact information

Practice address
16960 W BELL RD STE 502, SURPRISE, AZ 85374-8937
(760) 498-3077
Mailing address
27810 N 175TH DR, SURPRISE, AZ 85387-1159
(760) 498-3077

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
180.007411
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
25577
IL
101YP2500X
Professional Counselor
Primary
17271
AZ

Other

Enumeration date
11/05/2011
Last updated
10/07/2024
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