Doctor Name: | MELANIE D MILLER |
NPI Number: | 1134453723 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC-C |
License Number: | XL3570 |
Business Practice Address: | 247 Commercial St Suite C Rockport, ME - 048565964 |
Business Phone Number: | 2074707090 |
Business Fax Number: | 2074707094 |
Mailing Address: | 247 Commercial St, Suite C ROCKPORT |
State: | ME |
Postal Code: | 048565964 |
Phone Number: | 2074707090 |
Fax Number: | 2074707094 |
NPI Enumeration Date: | 09/29/2009 |
NPI Last Update Date: | 09/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | XL3570 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |