Individual
MR. MARK C. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
1913 SMITH AVE, THOMASVILLE, GA 31792-5751
(229) 226-7060
(229) 226-7061
Mailing address
1913 SMITH AVE, THOMASVILLE, GA 31792-5751
(229) 226-7060
(229) 226-7061
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1783
GA
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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