Healthcare Provider Details

I. General information

NPI: 1780669150
Provider Name (Legal Business Name): CHRISTINE LEE MILLER LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2005
Last Update Date: 02/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 RIVERWAY PL WOMEN'S COUNSELING CENTER
BEDFORD NH
03110-6763
US

IV. Provider business mailing address

44 CARTER HILL RD
CONCORD NH
03303-4136
US

V. Phone/Fax

Practice location:
  • Phone: 603-666-8502
  • Fax: 603-626-7368
Mailing address:
  • Phone: 603-224-6322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number32
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: