National Provider Identifier

Nicole Renee Miller

Nicole Renee Miller is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 442-8422.

NPI 1780155457Rochester, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1780155457
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
December 06, 2018
Last Updated
July 22, 2021

Practice Location

  • 556 Clinton Ave S
  • Rochester, NY 14620-1105

Phone: (585) 442-8422

Mailing Address

  • 172 Greystone Ln Apt 1
  • Rochester, NY 14618-4962

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1780155457
Entity Type
Individual
Last Name
Miller
First Name
Nicole
Middle Name
Renee
Mailing Street Address
172 Greystone Ln Apt 1
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-4962
Mailing Country
US
Practice Street Address
556 Clinton Ave S
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-1105
Practice Country
US
Practice Phone
(585) 442-8422
Practice Fax
(585) 442-8494
Enumeration Date
December 06, 2018
Last Updated
July 22, 2021
Sex
Female
Sole Proprietor
No
Certification Date
July 22, 2021
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)