Individual
ANTHONY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCC
Contact information
Practice address
10427 DETROIT AVE, CLEVELAND, OH 44102-1645
(216) 521-6511
Mailing address
10427 DETROIT AVE, CLEVELAND, OH 44102-1645
(216) 521-6511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0003816
OH
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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