Individual
CHARLES MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CAC II, MSW
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524
(970) 495-8020
(970) 495-7686
Mailing address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-8020
(970) 495-7686
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACB.0007233
CO
1041C0700X
Clinical Social Worker
Primary
CSW.00992662
CO
Other
Enumeration date
04/04/2006
Last updated
12/05/2019
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