Individual
MR. CHRISTOPHER MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2222 WESTERN TRAILS BLVD STE 203, AUSTIN, TX 78745-1647
(512) 657-5614
Mailing address
3305 TOM GREEN ST APT B, AUSTIN, TX 78705-2434
(512) 478-1000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
62611
TX
101YP2500X
Professional Counselor
Primary
62611
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679713127
—
TX
Enumeration date
02/24/2009
Last updated
01/12/2021
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