Individual
VICKI W MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
200 W NORTH 1ST ST, SENECA, SC 29678-3250
(864) 247-4762
Mailing address
14072 RICHARDSON DR, SENECA, SC 29678-6047
(864) 247-4762
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC004503
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
879069239A
—
GA
Enumeration date
11/17/2006
Last updated
02/02/2010
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