Individual
CARLOS MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8840 85TH ST, APT. 1R, WOODHAVEN, NY 11421-2460
(347) 229-8328
Mailing address
8840 85TH ST, APT. 1R, WOODHAVEN, NY 11421-2460
(347) 229-8328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244624
—
NY
Enumeration date
03/11/2017
Last updated
03/11/2017
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