Individual provider · Type 1 NPI

Susan Raelene Miller, R.N.

Mental Health Counselor · Marietta, OK

NPI number 1154695740 Active

Practice location

200 Wanda St
Marietta, OK 73448-1204

Mailing address

1912 Mockingbird Ln
Ardmore, OK 73401-3442

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR50333 (OK)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1154695740

Susan Raelene Miller, R.N.'s National Provider Identifier is 1154695740, issued on Feb 29, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marietta, OK. The record was last updated on Feb 29, 2012.