Individual
MRS. BEVERLY JEAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, NCC
Contact information
Practice address
4610 BLUEBIRD RD, CANANDAIGUA, NY 14424-9735
(585) 396-0590
(585) 393-9477
Mailing address
4633 STATE ROUTE 364, CANANDAIGUA, NY 14424-9754
(585) 554-3562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000179
NY
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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