Individual
MS. BERNADETTE MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC LICENSE CLINICA
Contact information
Practice address
2001 11TH AVENUE, #20, HELENA, MT 59601
(406) 495-1122
(406) 442-7747
Mailing address
P.O. BOX 1084, EAST HELENA, MT 59635
(406) 495-1122
(406) 442-7747
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1067
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255853
—
MT
01
—
12502582
CAQH
MT
01
—
740670
BLUE CROSS / BLUE SHIELD
MT
Enumeration date
10/18/2006
Last updated
10/09/2015
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