Individual
MS. CAROL ANN MIILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
9136 ST. HELENS ST, SUITE 175, CLACKAMAS, OR 97015-1376
(503) 657-9080
(503) 675-9080
Mailing address
PO BOX 1376, SUITE 175, CLACKAMAS, OR 97015-1376
(503) 657-9080
(503) 657-9080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C0270
OR
101YP2500X
Professional Counselor
C0270
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0270
STATE LICENSE
OR
Enumeration date
01/03/2007
Last updated
10/14/2009
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