Individual
KRISTINE TERESA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC1
Contact information
Practice address
1 SERENITY LN, COBURG, OR 97408-9350
(541) 687-1110
Mailing address
PO BOX 8549, COBURG, OR 97408-1313
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16-07-27
OR
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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