Individual
KYLAH JEAN ROSE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2941 LOS AMIGOS CT, LAS CRUCES, NM 88011-4836
(575) 993-3504
Mailing address
3128 EXECUTIVE HILLS RD, LAS CRUCES, NM 88011-4724
(575) 993-3504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
SWB-2025-0098
NM
Other
Enumeration date
10/28/2021
Last updated
03/05/2025
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