Individual
MR. MICHAEL S. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
204 MISSISSIPPI ST S, WYNNE, AR 72396-3025
(870) 208-8499
Mailing address
6462 CROSSBROOK LN APT 5, MEMPHIS, TN 38134-7896
(501) 519-2482
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1412114
AR
183700000X
Pharmacy Technician
—
—
Other
Enumeration date
10/30/2008
Last updated
04/20/2021
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