Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | ||
Y | 101YP2500X | Professional Counselor | PC008022 |
NPI | 1235632944 |
---|---|
Provider Name | Sarah Miller |
First Address | Bethlehem, PA 18018-2739 |
Second Address | Bethlehem, PA 18018-2739 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2018 |
Last Update Date | 09/03/2018 |