Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YP1600X | Pastoral Counselor |
NPI | 1215266721 |
---|---|
Provider Name | Ms. Debra Ann Miller |
First Address | Keene, NH 03431-4731 |
Second Address | Keene, NH 03431-3257 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2009 |
Last Update Date | 11/12/2009 |