Individual
AMANDA J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7520 COURT STREET, ELIZABETHTOWN, NY 12932
(518) 873-9144
Mailing address
P.O. BOX 445, ELIZABETHTOWN, NY 12932
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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