Individual
KIMBERLY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
4841 AUTO CENTER WAY # 10, BREMERTON, WA 98312-4388
(360) 373-1529
Mailing address
4841 AUTO CENTER WAY # 10, BREMERTON, WA 98312-4388
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61354057
WA
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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