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Individual
TIMOTHY MILLER
Active
Individual
TIMOTHY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.1110166
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267283
—
OH
Enumeration date
03/31/2017
Last updated
09/18/2019
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