Individual
MR. RYAN L. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLPC, ATC
Contact information
Practice address
29229 EIFFEL AVE, WARREN, MI 48088-3606
(586) 943-3421
Mailing address
29229 EIFFEL AVE, WARREN, MI 48088-3606
(586) 943-3421
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008871
MI
2255A2300X
Athletic Trainer
049702538
MI
Other
Enumeration date
07/20/2006
Last updated
01/14/2019
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