Individual
MR. PHILIP MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC LLMFT
Contact information
Practice address
12048 JAMES ST, HOLLAND, MI 49424-9661
(616) 396-0623
Mailing address
821 SHAWMUT CT NW, GRAND RAPIDS, MI 49504-3764
(616) 915-5425
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401015488
MI
Other
Enumeration date
06/17/2016
Last updated
12/06/2018
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