Individual
SHADEED ATIF MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-8714
Mailing address
222 TONGASS DR, SITKA, AK 99835-9416
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/15/2019
Last updated
12/04/2020
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