Individual
MS. KATHRYN A MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC MHSP
Contact information
Practice address
4646 POPLAR AVE STE 424, MEMPHIS, TN 38117-4434
(901) 767-4748
(901) 767-4749
Mailing address
4646 POPLAR AVE STE 424, MEMPHIS, TN 38117-4434
(901) 767-4748
(901) 767-4749
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
582
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4015818
BLUE CROSS BLUE SHIELD ID
TN
01
—
472238
VALUE OPTIONS ID
TN
05
—
5441094
—
TN
Enumeration date
05/09/2006
Last updated
07/09/2007
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