Individual
AMANDA DIANNE MILLIREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1608 WILKINS RD, ERIE, PA 16505-2938
(814) 722-0029
Mailing address
1608 WILKINS RD, ERIE, PA 16505-2938
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7746
PA
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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