John Cory Miller, BS

Individual provider Active NPI Mental Health Counselor · South Williamson, KY

NPI 1508979063 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1508979063
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
140 Hospital Dr
South Williamson, KY 41503-4022
Phone
(606) 237-9873
Fax
(606) 237-9723
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

140 Hospital Dr
South Williamson, KY 41503-4022

Mailing address

104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572

Other providers in South Williamson, KY

All providers in South Williamson, KY · Mental Health Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.