Individual
CYNTHIA DENISE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC, LCMHCA
Contact information
Practice address
412 S SCOTT RD, FORT WAYNE, IN 46814-9702
(260) 358-7180
Mailing address
1829 3RD ST, FORT WAYNE, IN 46808-2577
(260) 223-4502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99101989A
IN
101YM0800X
Mental Health Counselor
A14329
NC
Other
Enumeration date
10/03/2018
Last updated
05/10/2021
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