Individual
EBONY MILLNER GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 COURT ST, LYNCHBURG, VA 24504-1312
(434) 847-8035
Mailing address
2241 LANGHORNE RD, LYNCHBURG, VA 24501-1114
(434) 455-3402
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008778
VA
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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