Individual
BERETA MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
946 E 211TH ST, BRONX, NY 10469-1108
(718) 547-0133
(718) 547-0051
Mailing address
406 VAN SICLEN AVE APT 1, BROOKLYN, NY 11207-4347
(347) 737-0942
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34255
NY
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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