Individual
KELLI MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2117 S GLENBURNIE RD, NEW BERN, NC 28562-2280
(252) 633-3855
Mailing address
2117 S GLENBURNIE RD, NEW BERN, NC 28562-2280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-21322
NC
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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