Individual
MS. KELLY C. GROSE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC, NCC
Contact information
Practice address
1141 WHITNEY AVE, GRETNA, LA 70056-5011
(504) 347-1120
Mailing address
1141 WHITNEY AVE, GRETNA, LA 70056-5011
(504) 347-1120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8339
LA
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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