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Individual
MARK BRETCHING MILLER
Active
Individual
MARK BRETCHING MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
241563
KY
101YM0800X
Mental Health Counselor
0827
KY
101YP2500X
Professional Counselor
241563
KY
106H00000X
Marriage & Family Therapist
0827
KY
Other
Enumeration date
06/03/2019
Last updated
07/03/2019
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