Individual
ROBERTA LEE MILLER
Active
Individual
ROBERTA LEE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC, SAP, CADC III
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
05-11-98
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
507104
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00005706
WA
251S00000X
Community/Behavioral Health Agency
Primary
—
OR
Other
Enumeration date
03/10/2010
Last updated
09/13/2013
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