Individual
ELVIA MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1211 VINE ST, WEST DES MOINES, IA 50265-4472
(515) 494-8515
(515) 209-7081
Mailing address
1211 VINE ST, WEST DES MOINES, IA 50265-4472
(515) 494-8515
(515) 209-7081
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09024
—
IA
Enumeration date
12/19/2017
Last updated
12/19/2017
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