Organization
MARY ELLEN MILLER, MS, LPC, LLC
Active
Other names
Mary Ellen Miller, MS, LPC,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ELLEN ELLEN MILLER MS MILLER LPC (DIRECTOR)
(608) 617-8419
Entity
Organization
Contact information
Practice address
W10445 STATE ROAD 16 LOT 21, PORTAGE, WI 53901-9488
(608) 617-8419
Mailing address
W10445 STATE ROAD 16 LOT 21, PORTAGE, WI 53901-9488
(608) 617-8419
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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