Individual
BENJAMIN JON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
2055 S PACHECO ST STE 500, SANTA FE, NM 87505-3994
(505) 702-8112
Mailing address
901 RIO GRANDE BLVD NW STE G252, ALBUQUERQUE, NM 87104-2050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CTB-2023-0864
NM
101YP2500X
Professional Counselor
Primary
CTB-2023-0864
NM
Other
Enumeration date
12/19/2023
Last updated
02/28/2025
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