Individual
MRS. ANGELA GUINIVERE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TEMP-LMHCA
Contact information
Practice address
654 S WALKER ST, BLOOMINGTON, IN 47403-2159
(812) 369-4344
(812) 369-4314
Mailing address
654 S WALKER ST, BLOOMINGTON, IN 47403-2159
(812) 369-4344
(812) 369-4314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99115919A
IN
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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