Individual
PATRICK EVAN MILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
1220 WILLIS AVE, DAYTONA BEACH, FL 32114-2810
(386) 236-1697
Mailing address
1220 WILLIS AVE, DAYTONA BEACH, FL 32114-2810
(386) 236-1697
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH8202
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH8202
FL
101YM0800X
Mental Health Counselor
MH8202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000293400
—
FL
Enumeration date
07/15/2008
Last updated
04/28/2009
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