Individual
MRS. KATHERINE FAYE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A., M.S.
Contact information
Practice address
23 RYBAR LN, PALM COAST, FL 32164-6445
(386) 316-3004
Mailing address
113 OLD SHELL HARBOR RD, SATSUMA, FL 32189-3307
(386) 546-5812
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MT3621
FL
103K00000X
Behavior Analyst
MT3621
FL
106H00000X
Marriage & Family Therapist
Primary
MT3621
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102040500
—
FL
05
—
113573500
—
FL
Enumeration date
12/06/2016
Last updated
07/22/2024
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