Individual
JOANN MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
5601 W GRANDE MARKET DR STE A1, APPLETON, WI 54913-8506
(920) 706-1213
Mailing address
E2202 GLENVALE CT, WAUPACA, WI 54981-9108
(715) 281-4046
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3510-226
WI
Other
Enumeration date
10/14/2018
Last updated
10/14/2018
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