Individual
DANIEL LLOYD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LMFT
Contact information
Practice address
207 JEFFERSON BLVD, BIG LAKE, MN 55309
(763) 367-6080
(763) 263-7897
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
987
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104M9MI
BCBS ID NUMBER
MN
01
—
62-26715
MEDICA ID NUMBER
MN
05
—
974688900
—
MN
01
—
HP41030
HEALTH PARTNERS ID NUMBER
MN
Enumeration date
12/27/2006
Last updated
07/27/2018
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