Individual
MS. SHERRY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, LPC, LMHC, LCPC
Contact information
Practice address
2100 SW 14TH TER, CAPE CORAL, FL 33991-2206
(239) 284-6925
Mailing address
2100 SW 14TH TER, CAPE CORAL, FL 33991-2206
(239) 284-6925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15681-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
649
OK
101YP2500X
Professional Counselor
Primary
4354
OK
101YP2500X
Professional Counselor
4773
OK
101YP2500X
Professional Counselor
4869-125
WI
101YP2500X
Professional Counselor
MH13900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100027401
—
WI
05
—
200231200A
—
OK
Enumeration date
10/10/2008
Last updated
10/18/2023
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