Individual
DONNA J MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 RIVER ST, MATTAPAN, MA 02126-2713
(617) 534-6187
(857) 288-6679
Mailing address
1010 MASSACHUSETTS AVE, BOSTON, MA 02118-2600
(617) 419-3408
(617) 534-2611
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1131
MA
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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