Provider Demographics
NPI:1780669150
Name:MILLER, CHRISTINE LEE (LCMHC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:LEE
Last Name:MILLER
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 CARTER HILL RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03303-4136
Mailing Address - Country:US
Mailing Address - Phone:603-224-6322
Mailing Address - Fax:
Practice Address - Street 1:201 RIVERWAY PL
Practice Address - Street 2:WOMEN'S COUNSELING CENTER
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6763
Practice Address - Country:US
Practice Address - Phone:603-666-8502
Practice Address - Fax:603-626-7368
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-08
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH32101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30011157Medicaid