Individual
CHARLES ROTH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
216 MYRTLE ST W UNIT 2163, STILLWATER, MN 55082-3545
(612) 702-5432
Mailing address
216 MYRTLE ST W UNIT 2163, STILLWATER, MN 55082-3545
(612) 702-5432
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC03151
MN
Other
Enumeration date
07/21/2016
Last updated
06/18/2024
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