Individual
KATHLEEN M MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
800 E 30TH ST, SUITE D, FARMINGTON, NM 87401-9407
(505) 327-2607
(505) 327-7451
Mailing address
5703 VILLA VIEW DR, FARMINGTON, NM 87402-8206
(505) 327-2101
(505) 327-7451
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0510
NM
Other
Enumeration date
07/26/2006
Last updated
03/13/2008
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