Individual
AYISHA R MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1312 DONAGHEY AVE, CONWAY, AR 72034-3807
(501) 366-3600
Mailing address
1312 DONAGHEY AVE, SUITE 1, CONWAY, AR 72034-3807
(501) 336-8300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P0409039
AR
101YP2500X
Professional Counselor
Primary
—
AR
Other
Enumeration date
10/04/2006
Last updated
03/18/2015
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