Individual
KRYSTLE D MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
158 COL CASEY DRIVE, COLUMBIA, KY 42728-5319
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
288498
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16074862
CAQH
KY
05
—
7100941590
—
KY
Enumeration date
02/06/2020
Last updated
08/21/2024
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