Individual
MR. BRIAN EDWARD MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1400 CARLISLE BLVD NE, SUITE B, ALBUQUERQUE, NM 87110-5658
(505) 271-6630
(505) 271-6442
Mailing address
1400 CARLISLE BLVD NE, SUITE B, ALBUQUERQUE, NM 87110-5658
(505) 271-6630
(505) 271-6442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0151561
NM
101YP2500X
Professional Counselor
Primary
0151561
NM
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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