Individual
MR. EVERETT MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
3044 CONEY ISLAND AVE, BROOKLYN, NY 11235-5660
(718) 265-4200
Mailing address
3044 CONEY ISLAND AVE, BROOKLYN, NY 11235-5660
(718) 265-4200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21773
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
05/09/2008
Last updated
01/30/2013
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