Individual
CHARLOTTE BETH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
25245 S 613 RD, GROVE, OK 74344-0103
(314) 712-2645
Mailing address
25245 S 613 RD, GROVE, OK 74344-0103
(314) 712-2645
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9574
TX
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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