Individual
BRYAN G MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LPC
Contact information
Practice address
4501 S 70TH, SUITE 120, LINCOLN, NE 68516-4276
(402) 483-1936
(402) 483-7314
Mailing address
4501 S 70TH, SUITE 120, LINCOLN, NE 68516-4276
(402) 483-1936
(402) 483-7314
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
552
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47080115226
—
NE
Enumeration date
11/01/2006
Last updated
07/08/2007
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