Individual
COURTNEY LYNN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED, LCPC
Contact information
Practice address
921 N 24TH ST, QUINCY, IL 62301-2267
(217) 592-0450
Mailing address
921 N 24TH ST, QUINCY, IL 62301-2267
(217) 592-0461
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
180.012850
IL
Other
Enumeration date
09/13/2017
Last updated
03/24/2020
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