Individual
MARK A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
514 BELTRAMI AVE NW, BEMIDJI, MN 56601-3010
(218) 444-2845
(218) 444-2847
Mailing address
514 BELTRAMI AVE NW, BEMIDJI, MN 56601-3010
(218) 444-2845
(218) 444-2847
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
908
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163M8MI
BLUECROSSBLUESHIELD MN
MN
Enumeration date
05/03/2007
Last updated
07/08/2007
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