Individual
KRIS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LADC
Contact information
Practice address
640 JACKSON STREET, ST. PAUL, MN 55101
(651) 254-4736
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-4736
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
301724
MN
Other
Enumeration date
05/20/2009
Last updated
11/22/2024
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