Individual
VANESHA L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
15 W 39TH ST, NEW YORK, NY 10018-3806
(212) 564-6006
Mailing address
99 N GROVE ST, FREEPORT, NY 11520-2735
(646) 229-0179
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P14707
NY
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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