Individual
RYAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
2524 E WEBSTER PL, MILWAUKEE, WI 53211-4256
(414) 964-9200
Mailing address
2524 E WEBSTER PL STE 203, MILWAUKEE, WI 53211-4257
(414) 964-9200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6312-125
WI
101YM0800X
Mental Health Counselor
6312-125
WI
101YP2500X
Professional Counselor
Primary
6312-125
WI
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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