Individual
MRS. ELLEN S MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
19056 GREENBUSH RD., PARKSLEY, VA 23421
(757) 665-1260
Mailing address
19056 GREENBUSH ROAD, PARKSLEY, VA 23421
(757) 665-1260
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005611
VA
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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