Individual
MRS. LISA SHEA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 DECATUR HWY STE 101, GARDENDALE, AL 35071-3857
(205) 644-1166
(800) 514-9302
Mailing address
4741 GARDENIA TRCE, MOUNT OLIVE, AL 35117-3461
(205) 602-9335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3094
AL
Other
Enumeration date
10/11/2018
Last updated
02/09/2024
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