Individual
JOAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
365 E MAIN ST, PATCHOGUE, NY 11772-3145
(631) 852-1222
(631) 852-1226
Mailing address
365 E MAIN ST, PATCHOGUE, NY 11772-3145
(631) 852-1222
(631) 852-1226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16930
NY
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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