Individual
SAMANTHA JO MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW, LAC
Contact information
Practice address
2397 S 36TH ST UNIT A, GRAND FORKS, ND 58201-8841
(701) 645-7456
Mailing address
2397 S 36TH ST UNIT A, GRAND FORKS, ND 58201-8841
(701) 645-7456
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1943
ND
101YA0400X
Addiction (Substance Use Disorder) Counselor
305065
MN
1041C0700X
Clinical Social Worker
30475
MN
1041C0700X
Clinical Social Worker
Primary
6345
ND
Other
Enumeration date
05/22/2018
Last updated
09/17/2025
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