Provider Demographics
NPI:1790294999
Name:MILLER, REBECCA SETZER (MA, MDIV, LCMHC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:SETZER
Last Name:MILLER
Suffix:
Gender:F
Credentials:MA, MDIV, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 ACADEMY ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-3901
Mailing Address - Country:US
Mailing Address - Phone:828-559-0125
Mailing Address - Fax:828-559-2521
Practice Address - Street 1:79 ACADEMY ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-3901
Practice Address - Country:US
Practice Address - Phone:828-559-0125
Practice Address - Fax:828-559-2521
Is Sole Proprietor?:No
Enumeration Date:2017-09-20
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13344101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional