Individual
KAY ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LAC MAC
Contact information
Practice address
101 EAST BROADWAY, BISMARCK, ND 58501
(701) 222-0386
(701) 255-4891
Mailing address
101 EAST BROADWAY, BISMARCK, ND 58501
(701) 222-0386
(701) 255-4891
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1242
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22203
BC BS
ND
01
—
500911
NAADAC-MAC
—
Enumeration date
02/06/2007
Last updated
07/08/2007
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