Individual
CAROLYN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACDC-II
Contact information
Practice address
750 SPAANS DR STE C, GALT, CA 95632-8609
(916) 612-2452
(209) 744-9910
Mailing address
750 SPAANS DR STE C, GALT, CA 95632-8609
(916) 612-2452
(209) 744-9910
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AII2161214
CA
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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