Individual
ELISE M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCA
Contact information
Practice address
1345 NW FEDERAL ST, BEND, OR 97703-2336
(541) 815-9576
Mailing address
1345 NW FEDERAL ST, BEND, OR 97703-2336
(541) 815-9576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R8446
OR
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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