Individual
KIMBERLY JEANNE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC SUPERVISOR
Contact information
Practice address
1624 HARMON PL STE 203, MINNEAPOLIS, MN 55403-1902
(510) 208-8202
Mailing address
5108 W 74TH ST STE 776, EDINA, MN 55439-2464
(612) 208-8202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306301
MN
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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