Individual
ELIZABETH RAE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
208 KIDD DR, BEREA, KY 40403-9593
(859) 428-7862
(859) 999-7869
Mailing address
PO BOX 802, BEREA, KY 40403-0802
(859) 428-7862
(859) 999-7869
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
270643
KY
101YM0800X
Mental Health Counselor
Primary
285884
KY
101YP2500X
Professional Counselor
285884
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100912240
—
KY
Enumeration date
08/25/2020
Last updated
12/28/2023
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