Individual
DIANA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDC-CS
Contact information
Practice address
186 PINEHURST RD, MUNROE FALLS, OH 44262-1135
(330) 687-4731
Mailing address
9403 KENWOOD RD, BLUE ASH, OH 45242-6895
(330) 687-4731
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.95436
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0318508
—
OH
Enumeration date
01/07/2008
Last updated
12/16/2021
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