Individual
MARLENE B MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC-TL, SACIT
Contact information
Practice address
W12802 COUNTY HIGHWAY A, BOWLER, WI 54416
(715) 793-4144
(715) 793-1312
Mailing address
W12802 COUNTY HIGHWAY A, BOWLER, WI 54416
(715) 793-4144
(715) 793-1312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17691-130
WI
101YP2500X
Professional Counselor
Primary
2962-226
WI
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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