Individual
CONSTANCE E. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
620 SHORE RD, SPRING LAKE, NJ 07762-1854
(739) 974-1978
(609) 361-7722
Mailing address
620 SHORE RD, SPRING LAKE, NJ 07762-1854
(739) 974-1978
(609) 361-7722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00007300
NJ
Other
Enumeration date
05/11/2007
Last updated
06/20/2012
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