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Individual

ASHLEY M MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, SAC

Contact information

Practice address
607 N SALES ST, MERRILL, WI 54452-1624
(715) 536-9482
(715) 593-2972
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15772
WI
101YP2500X
Professional Counselor
Primary
4931
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15772
STATE LICENSE
WI
01
4931-125
STATE LICENSE
WI
Enumeration date
10/10/2012
Last updated
01/29/2024
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