Individual
GENNA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCAS-R
Contact information
Practice address
7540 RAMBLE WAY STE 109, RALEIGH, NC 27616-4318
(252) 281-2515
Mailing address
4704 COUNTRY CLUB DR N, WILSON, NC 27896-9116
(315) 256-3378
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-25948
NC
101YM0800X
Mental Health Counselor
Primary
A16834
NC
Other
Enumeration date
11/25/2019
Last updated
10/05/2022
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