Individual
LISA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, ICRC
Contact information
Practice address
10348 PARK RD, CHARLOTTE, NC 28210-8507
(704) 288-1097
Mailing address
10348 PARK RD, CHARLOTTE, NC 28210-8507
(704) 288-1097
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2695
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSAC-2695
NC
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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