Individual
MS. DIANE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCDC I
Contact information
Practice address
200 PAUL GUST RD, CHAMBERLAIN, SD 57325-1031
(605) 734-5290
(605) 734-0965
Mailing address
200 PAUL GUST RD, CHAMBERLAIN, SD 57325-1031
(605) 734-5290
(605) 734-0965
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CCDC I
SD
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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