Individual
CONSTANCE M MILLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MS
Contact information
Practice address
724 PHILLIPS ST STE A, STROUDSBURG, PA 18360-2242
(570) 517-0892
(570) 476-6466
Mailing address
724 PHILLIPS ST STE A, STROUDSBURG, PA 18360-2242
(570) 517-0892
(570) 476-6466
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007592970036
—
PA
Enumeration date
04/16/2012
Last updated
04/16/2012
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