Individual
MAE SONDRA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CADC
Contact information
Practice address
300 W BROADWAY, COUNCIL BLUFFS, IA 51503-9019
(712) 328-3700
Mailing address
300 W BROADWAY, COUNCIL BLUFFS, IA 51503-9019
(712) 328-3700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IA
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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