Individual
HEATHER MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
310 BUSINESS HIGHWAY 61 S, BOWLING GREEN, MO 63334-1905
(573) 470-1860
(844) 270-3702
Mailing address
18085 HIGHWAY 61, BOWLING GREEN, MO 63334-3620
(573) 470-1860
(844) 270-3702
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013008697
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326479387
—
MO
05
—
1912338849
—
MO
Enumeration date
12/02/2013
Last updated
05/08/2016
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