Individual
ANN D MILLER-EDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC/MH
Contact information
Practice address
3705 N MERIDIAN AVE, OKLAHOMA CITY, OK 73112-2817
(405) 367-1426
Mailing address
3705 N MERIDIAN AVE, OKLAHOMA CITY, OK 73112-2817
(405) 367-1426
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1030
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200079250 A
—
OK
Enumeration date
04/23/2007
Last updated
04/24/2020
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