person
Mr. Theodore Philip Miles, CADACII
Addiction (Substance Use Disorder) Counselor in Bloomington, Indiana
NPI 1013593342

Theodore Philip Miles is an Addiction (Substance Use Disorder) Counselor based in Bloomington, IN and is specialized in Addiction (Substance Use Disorder). Theodore Philip Miles practices in Bloomington, IN and has the professional credentials of CADACII. The NPI Number for Theodore Philip Miles is 1013593342 and holds a License No. C2-1990 (Indiana).

The current practice location address for Theodore Philip Miles is 1355 W Bloomfield Rd, Bloomington, IN and can be reached out via phone at 812-558-0574.

Location: 1355 W Bloomfield Rd, Bloomington, IN, 47403-2051
person
Provider Profile Details
NPI Number
1013593342
Provider Name
Theodore Philip Miles
Credential
CADACII
Provider Entity Type
Individual
Gender
Male
Address
1355 W Bloomfield Rd, Bloomington, IN, 47403-2051
Phone Number
812-558-0574
Fax Number
Provider Enumeration Date
03/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1355 W Bloomfield Rd
City
State
Zip
47403-2051
Phone Number
812-558-0574
Fax Number
person
Provider Business Mailing Address Details
Address
1355 W Bloomfield Rd
City
State
Zip
47403-2051
Phone Number
812-558-0574
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C2-1990 (Indiana)
Definition
Definition to come...
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