Individual
LISA JEANETTE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
1379 SW 15TH ST, REDMOND, OR 97756-2905
(541) 548-6166
(541) 548-6168
Mailing address
61279 FAIRFIELD DRIVE, BEND, OR 97702-2735
(541) 317-5803
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
68066
MT
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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