Doctor Name: | KARLA MILES |
NPI Number: | 1831551001 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCDCIII |
License Number: | 021031 |
Business Practice Address: | 2466 Tennyson Dr Bellbrook, OH - 453051744 |
Business Phone Number: | 9374615223 |
Business Fax Number: | 9374617010 |
Mailing Address: | 2466 Tennyson Dr, BELLBROOK |
State: | OH |
Postal Code: | 453051744 |
Phone Number: | 9374615223 |
Fax Number: | 9374617010 |
NPI Enumeration Date: | 03/25/2016 |
NPI Last Update Date: | 03/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 021031 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |