Individual
MRS. LORI ANN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC, LSW, LCDCIII
Contact information
Practice address
55 2ND ST SE, CARROLLTON, OH 44615-1408
(330) 627-4042
Mailing address
55 2ND ST SE, CARROLLTON, OH 44615-1408
(330) 627-4042
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.0003862
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
011320
OH
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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