Individual
KORY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5315 WALL ST STE 200, MADISON, WI 53718-7937
(608) 889-7173
Mailing address
1360 REGENT ST STE 133, MADISON, WI 53715-1255
(608) 889-7173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11621-125
WI
Other
Enumeration date
04/20/2022
Last updated
03/16/2025
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