Provider Demographics
NPI:1689927196
Name:MILLER, ANNA KATHRYN BREWSTER (MA, LCMHC)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:KATHRYN BREWSTER
Last Name:MILLER
Suffix:
Gender:F
Credentials:MA, LCMHC
Other - Prefix:
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Mailing Address - Street 1:5817 HYATT LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-7097
Mailing Address - Country:US
Mailing Address - Phone:910-297-1509
Mailing Address - Fax:910-755-5255
Practice Address - Street 1:4705 UNIVERSITY DR BLDG 700
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-3489
Practice Address - Country:US
Practice Address - Phone:919-237-1337
Practice Address - Fax:919-237-1625
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-22
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCA9325101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional