Individual
KELLEE S MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 MARKET AVE N, CANTON, OH 44702-1017
(330) 493-4553
(330) 493-3761
Mailing address
624 MARKET AVE N, CANTON, OH 44702-1017
(330) 493-4553
(330) 493-3761
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C1600245TRNE
OH
101Y00000X
Counselor
Primary
C1700189
OH
Other
Enumeration date
11/04/2016
Last updated
10/06/2021
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