Individual
MR. MAX A MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LCMHC
Contact information
Practice address
34 PATCHEN RD, SOUTH BURLINGTON, VT 05403-5704
(802) 658-4208
(802) 658-2234
Mailing address
26 VICTORIA DR, SOUTH BURLINGTON, VT 05403-6627
(802) 860-1588
(802) 658-2234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000523
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007669
—
VT
Enumeration date
03/19/2007
Last updated
07/08/2007
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