Individual
MR. BRIAN GORDON MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2014 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2602
(267) 603-3062
Mailing address
2014 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2602
(267) 603-3062
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000941
PA
Other
Enumeration date
06/04/2017
Last updated
07/21/2022
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