Individual
BRIAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
607 W 7TH ST, APPLETON, WI 54911-5923
(920) 739-3235
Mailing address
607 W 7TH ST, APPLETON, WI 54911-5923
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19490-130
WI
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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