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Individual

MS. ELIZABETH ANNE MILLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, ATR-BC, LPC

Contact information

Practice address
3811 PORTER ST NW, 2ND FLOOR, WASHINGTON, DC 20016-2955
(703) 914-1078
(703) 663-8817
Mailing address
PO BOX 9853, ALEXANDRIA, VA 22304-0475
(703) 914-1078
(703) 663-8817

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
PRC1127
DC
101YM0800X
Mental Health Counselor
PRC1127
DC
101YP2500X
Professional Counselor
Primary
PRC1127
DC
221700000X
Art Therapist
PRC1127
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
600240585
MAGELLAN BEHAVIORAL HEALTH
DC
01
U679-0001
CAREFIRST BLUECROSS BLUESHIELD
DC
Enumeration date
08/18/2006
Last updated
04/11/2013
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