Individual
AMY GAYLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CASAC, LCAT
Contact information
Practice address
5050 TRADEWAY DR APT 408, LELAND, NC 28451-4291
(585) 748-1141
Mailing address
2013 OLDE REGENT WAY STE 150-270, LELAND, NC 28451-4193
(585) 748-1141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
31117
NY
221700000X
Art Therapist
Primary
002479
NY
Other
Enumeration date
12/04/2021
Last updated
12/04/2021
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