Individual
NICHOLAS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1255 W BASELINE RD STE B258, MESA, AZ 85202-5820
(480) 820-0825
(480) 820-7863
Mailing address
1255 W BASELINE RD STE B258, MESA, AZ 85202-5820
(480) 820-0825
(480) 820-7863
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-17291
AZ
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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