Individual
KATHRYN S MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
501 SW ANKENY RD, ANKENY, IA 50023-9702
(515) 289-2272
(515) 289-0126
Mailing address
501 SW ANKENY RIAD, ANKENY, IA 50021-9702
(515) 289-2272
(515) 289-0126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16084
IA
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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