Individual
DANA PATRICE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 ALFORD CT, LITHONIA, GA 30058-3143
(203) 676-2309
Mailing address
1008 ALFORD CT, LITHONIA, GA 30058-3143
(203) 676-2309
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFT002092
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFT002092
GA STATE BOARD OF PROFESSIONAL LICENSING
GA
Enumeration date
01/16/2024
Last updated
01/16/2024
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