Individual
MR. BENJAMIN MICHAEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(408) 379-3790
Mailing address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4614
CA
1041C0700X
Clinical Social Worker
180010948
IL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/06/2017
Last updated
01/18/2018
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