Individual
MS. TONIA LEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM/QMHA-R
Contact information
Practice address
2045 SILVERTON RD NE STE A, SALEM, OR 97301-0100
(503) 576-4589
Mailing address
2045 SILVERTON RD NE STE A, SALEM, OR 97301-0100
(503) 576-4589
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
23-QMHA-R-3525
OR
175T00000X
Peer Specialist
1386341360
OR
Other
Enumeration date
02/10/2023
Last updated
12/28/2023
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