Individual
MR. MARTIN KONANTZ MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIMHP, LADC
Contact information
Practice address
225 N SAINT JOSEPH AVE, HASTINGS, NE 68901-7555
(402) 463-5075
(402) 463-5073
Mailing address
225 N SAINT JOSEPH AVE, HASTINGS, NE 68901-7555
(402) 463-5075
(402) 463-5073
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
701
NE
101YM0800X
Mental Health Counselor
Primary
1073
NE
Other
Enumeration date
04/07/2008
Last updated
01/23/2015
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