Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 0666 | MS |
NPI | 1003048778 |
---|---|
Provider Name | Frances L Miller |
First Address | Hattiesburg, MS 39402-1735 |
Second Address | Hattiesburg, MS 39402-1735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2009 |
Last Update Date | 14/08/2009 |