National Provider Identifier

Beverly Jean Miller, LMHC, NCC

Beverly Jean Miller, LMHC, NCC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Canandaigua, NY and a listed phone number of (585) 396-0590.

NPI 1871500603Canandaigua, NYMental Health Counselor

Profile Overview

NPI
1871500603
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
August 02, 2006
Last Updated
July 08, 2007

Practice Location

  • 4610 Bluebird RD
  • Canandaigua, NY 14424-9735

Phone: (585) 396-0590

Mailing Address

  • 4633 State Route 364
  • Canandaigua, NY 14424-9754

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1871500603
Entity Type
Individual
Last Name
Miller
First Name
Beverly
Middle Name
Jean
Name Prefix
Mrs.
Credential
LMHC, NCC
Mailing Street Address
4633 State Route 364
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-9754
Mailing Country
US
Mailing Phone
(585) 554-3562
Practice Street Address
4610 Bluebird RD
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-9735
Practice Country
US
Practice Phone
(585) 396-0590
Practice Fax
(585) 393-9477
Enumeration Date
August 02, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)