Individual
MRS. DEBRA MAXTON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHR, LPC
Contact information
Practice address
138 S. MAIN, AFTON, OK 74331
(918) 961-0422
(918) 961-0422
Mailing address
138 S. MAIN, AFTON, OK 74331
(918) 961-0422
(918) 961-0422
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2931
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2931
OK ST. DEPT. OF HEALTH - LIC. PROFESSIONAL COUNSELOR
OK
Enumeration date
06/14/2006
Last updated
03/07/2016
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