Individual provider · Type 1 NPI

Elice Marie Miracle, LPCA, M.ED

Mental Health Counselor · Corbin, KY

NPI number 1316165087 Active

Practice location

1203 American Greeting Rd
Corbin, KY 40701-4811

Mailing address

PO Box 568
Corbin, KY 40702-0568

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0237 (KY)

Mental Health Counselor: Definition to come...

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About NPI 1316165087

Elice Marie Miracle, LPCA, M.ED's National Provider Identifier is 1316165087, issued on Apr 20, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Corbin, KY. The record was last updated on Jul 8, 2007.