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Individual

BETSY MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, SAP, CEAP

Contact information

Practice address
179 PIERCE AVE, MACON, GA 31204-2821
(478) 742-1464
(478) 742-1883
Mailing address
179 PIERCE AVE, MACON, GA 31204-2821
(478) 742-1464
(478) 742-1883

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001504A
IN
101YP2500X
Professional Counselor
Primary
1819
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000341258
ANTHEM BCBS
IN
05
081330869A
GA
Enumeration date
08/15/2005
Last updated
08/27/2008
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