Individual
KIM MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
748 TIMBER CREEK RD, DIXON, IL 61021-9564
(815) 284-3940
(815) 284-9267
Mailing address
602 S SUMMER HILL RD, POLO, IL 61064-9101
(815) 973-0450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25047
IL
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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