Organization
MARTIN MILLER GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN MILLER LIMHP, LADC (OWNER)
(402) 463-5075
Entity
Organization
Contact information
Practice address
225 N SAINT JOSEPH AVE, HASTINGS, NE 68901-7555
(402) 463-5075
(402) 463-5073
Mailing address
225 N SAINT JOSEPH AVE, HASTINGS, NE 68901-7555
(402) 463-5075
(402) 463-5073
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
701
NE
101YM0800X
Mental Health Counselor
Primary
1073
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026137700
—
NE
Enumeration date
01/11/2012
Last updated
01/22/2015
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