Individual
DR. DEBORAH COLLEEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
199 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-5831
(763) 785-8111
(763) 785-6946
Mailing address
14120 TERRACE RD NE, HAM LAKE, MN 55304-6779
(763) 785-8111
(763) 785-6946
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LP0180
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
717093900
—
MN
Enumeration date
05/17/2006
Last updated
02/02/2021
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