Individual
MR. MARK JOHN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC LADAC
Contact information
Practice address
1800 S LOCUST ST, LAS CRUCES, NM 88001
(575) 522-6944
(575) 522-7901
Mailing address
1800 S LOCUST ST, LAS CRUCES, NM 88001
(575) 522-6944
(575) 522-7901
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
005708
NM
101YP2500X
Professional Counselor
Primary
0076621
NM
Other
Enumeration date
11/16/2006
Last updated
07/16/2010
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