Individual
MELANIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
1019 W JAMES ST STE 102, KENT, WA 98032-4332
(253) 234-1190
(253) 859-0043
Mailing address
1019 W JAMES ST STE 102, KENT, WA 98032-4332
(253) 234-1190
(253) 859-0043
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60796852
WA
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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