Individual
WILLIAM MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1804 10TH AVE S, MINNEAPOLIS, MN 55404-2001
(612) 747-9561
Mailing address
1804 10TH AVE S, MINNEAPOLIS, MN 55404-2001
(612) 747-9561
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303367
—
101YM0800X
Mental Health Counselor
Primary
2826
MN
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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