Individual
MRS. ANDRIA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
880 SE 82ND DRIVE, GLADSTONE, OR 97027-1803
(503) 659-5515
(503) 659-1994
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C2537
OR
101YM0800X
Mental Health Counselor
294347-6004
UT
Other
Enumeration date
10/08/2008
Last updated
07/21/2022
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