IndividualActive
Andre Miller
NPI 1295388965 · Addiction (Substance Use Disorder) Counselor · Augusta, GA
Provider details
- NPI number
- 1295388965
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- NTP001004 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2357 Tobacco Rd
Augusta, GA 30906-9220
Phone: (706) 722-3855
Fax: (706) 798-3795
Approximate (ZIP-level) locationGet directions
Mailing address
2357 Tobacco Rd
Augusta, GA 30906-9220
Registry dates
- Enumerated
- 2019-07-22
- Last updated
- 2019-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.