Individual
DENNIS R MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7525 JOHN T WHITE RD, FORT WORTH, TX 76120-3311
(817) 338-9553
Mailing address
PO BOX 428, ARLINGTON, TX 76004-0428
(817) 338-9553
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC 10983
TX
1041C0700X
Clinical Social Worker
Primary
LCSW15499
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108155602
—
TX
Enumeration date
07/11/2007
Last updated
04/23/2010
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