Individual
ELISE F MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6 TELCOM DR, BANGOR, ME 04401-3072
(207) 947-0147
(207) 990-3365
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 404-8200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC5049
ME
Other
Enumeration date
02/27/2013
Last updated
04/14/2022
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