Individual
MS. BEVERLY D MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3939 SAN PEDRO DR NE, SUITE C-4, ALBUQUERQUE, NM 87110-8900
(505) 980-5106
Mailing address
PO BOX 21515, ALBUQUERQUE, NM 87154-1515
(505) 980-5106
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0114441
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51682745
—
NM
Enumeration date
03/20/2007
Last updated
03/26/2013
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