Individual
DEIRDRE JEAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADAC II
Contact information
Practice address
1101 N JIM DAY RD STE 109, SALEM, IN 47167-5201
(812) 620-6170
Mailing address
6861 S BUD MILLER RD, SALEM, IN 47167-8185
(812) 620-6170
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C2-2023
IN
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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