Individual
JOHN GERARD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1451 44TH AVE S STE A, GRAND FORKS, ND 58201-3434
(701) 772-2500
(701) 732-2517
Mailing address
1451 44TH AVE S STE A, GRAND FORKS, ND 58201-3434
(701) 772-2500
(701) 732-2517
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1668
ND
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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