Individual
QUADREON MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13585 SAN PABLO AVE FL 1, SAN PABLO, CA 94806-3863
(510) 942-4600
Mailing address
2650 DURANT AVE # 313B, BERKELEY, CA 94720-2274
(505) 227-4962
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
04/01/2024
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