Individual
CHRIS DONALD MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.D.C.A.176352
Contact information
Practice address
9220 MENTOR AVE, MENTOR, OH 44060-6412
(440) 354-9924
(833) 209-8465
Mailing address
9220 MENTOR AVE, MENTOR, OH 44060-6412
(440) 354-9924
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CDCA.176352
OH
Other
Enumeration date
07/03/2021
Last updated
07/03/2021
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