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Individual

MARK BRETCHING MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
1402A BROWNS LN, LOUISVILLE, KY 40207-4609
(502) 894-0234
(502) 894-9858
Mailing address
1402A BROWNS LN, LOUISVILLE, KY 40207-4609
(502) 894-0234
(502) 894-9858

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
241563
KY
101YM0800X
Mental Health Counselor
0827
KY
101YP2500X
Professional Counselor
241563
KY
106H00000X
Marriage & Family Therapist
0827
KY

Other

Enumeration date
06/03/2019
Last updated
07/03/2019
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