Individual
MS. TERRI SUE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
200 S RANCHWOOD BLVD, YUKON, OK 73099-2740
(405) 834-5380
Mailing address
11113 NW 110TH ST, YUKON, OK 73099-8029
(405) 834-5380
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
340
OK
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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