Individual
COLLEEN A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
138 N COURT ST., VETERANS MEMORIAL BUILDING, WAMPSVILLE, NY 13163-0608
(315) 366-2327
(315) 366-2599
Mailing address
5733 E LAKE RD, CAZENOVIA, NY 13035-9324
(315) 655-2740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R050997-1
NY
101YM0800X
Mental Health Counselor
RO50997-1
NY
Other
Enumeration date
07/12/2006
Last updated
07/09/2007
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