Individual
MR. FABIAN LAMONT MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDPT
Contact information
Practice address
2329 4TH AVE, SEATTLE, WA 98121-1717
(206) 461-3649
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60250601
WA
Other
Enumeration date
06/08/2012
Last updated
12/21/2021
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