Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 10557 | FL |
NPI | 1003153198 |
---|---|
Provider Name | Catherine Mcclure Miller |
First Address | Savannah, GA 31410-1827 |
Second Address | Savannah, GA 31410-1827 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2013 |
Last Update Date | 09/01/2013 |