Individual
MELISSA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 FOREST PARK CIR, MANSFIELD, TX 76063-7638
(601) 327-1174
Mailing address
2204 FOREST PARK CIR, MANSFIELD, TX 76063-7638
(601) 327-1174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15705
TX
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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