Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 0013083 | CO |
NPI | 1003355066 |
---|---|
Provider Name | Brittany Miller |
First Address | Denver, CO 80212-2543 |
Second Address | Denver, CO 80222-5036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2017 |
Last Update Date | 22/02/2017 |