Individual
MRS. COSSANDRA EVETTE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
233 S SHARON AMITY RD STE 102, CHARLOTTE, NC 28211-2893
(704) 763-9555
(704) 709-8580
Mailing address
233 S SHARON AMITY RD STE 102, CHARLOTTE, NC 28211-2893
(704) 763-9555
(704) 709-8580
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C005101
NC
1041C0700X
Clinical Social Worker
Primary
C005101
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106146
—
NC
Enumeration date
10/03/2006
Last updated
05/15/2024
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