Individual
MISS CARRIE LYNETTE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.C.C.
Contact information
Practice address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
(419) 557-5179
Mailing address
1925 HAYES AVENUE, SANDUSKY, OH 44870-4737
(419) 557-5177
(419) 557-5179
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C0900125
OH
101YM0800X
Mental Health Counselor
Primary
E0900125
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0900125
STATE OF OHIO - CSWMFT BOARD
OH
Enumeration date
10/04/2010
Last updated
11/02/2012
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