Individual
ANGELA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LCSW
Contact information
Practice address
1 CHEYENNE LANE, LAME DEER, MT 59043
(406) 748-3395
(406) 494-1724
Mailing address
416 WILDRYE ST, PO BOX 996, COLSTRIP, MT 59323-9501
(406) 748-3395
(406) 494-1724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1302
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1302
STATE FO MONTANA LICENSE
MT
Enumeration date
08/21/2007
Last updated
09/19/2014
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