Individual
IMANI DANAE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11828 CANON BLVD STE H, NEWPORT NEWS, VA 23606-2554
(757) 751-9508
Mailing address
11828 CANON BLVD STE H, NEWPORT NEWS, VA 23606-2554
(757) 751-9508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704014790
VA
Other
Enumeration date
08/08/2022
Last updated
12/02/2024
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