Individual
CRYSTAL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
4401 NE VIVION RD STE 204, KANSAS CITY, MO 64119-2800
(816) 919-4495
Mailing address
4401 NE VIVION RD STE 204, KANSAS CITY, MO 64119-2800
(816) 695-6519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2016045159
MO
Other
Enumeration date
06/10/2022
Last updated
06/10/2024
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