Individual
PAUL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
650 MAIN ST, SUITE 103, SOUTH PORTLAND, ME 04106-5448
(207) 239-6406
Mailing address
650 MAIN ST, SUITE 103, SOUTH PORTLAND, ME 04106-5448
(207) 239-6406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL3145
ME
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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