Individual
MRS. CANDY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10936 DALE AVE, STANTON, CA 90680-2724
(714) 952-4032
Mailing address
10936 DALE AVE, STANTON, CA 90680-2724
(714) 952-4032
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C17031214
CA
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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