Provider Demographics
NPI:1316650773
Name:MILLER, BRITTANY ERIN (MHC)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:ERIN
Last Name:MILLER
Suffix:
Gender:M
Credentials:MHC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:ERIN
Other - Last Name:RIPLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:162 WINKS RD
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:NY
Mailing Address - Zip Code:13069-4433
Mailing Address - Country:US
Mailing Address - Phone:315-592-1610
Mailing Address - Fax:
Practice Address - Street 1:146 ARSENAL ST # L
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-2537
Practice Address - Country:US
Practice Address - Phone:315-343-3344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health