Individual
THOMAS JOSEPH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
191 N. NC 41, BEULAVILLE, NC 28518
(190) 298-6207
Mailing address
191 N. NC 41, BEULAVILLE, NC 28518
(190) 298-6207
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300
NC
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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