person
Kermit Randall Miller, MA
Mental Health Counselor in Fort Wayne, Indiana
NPI 1285822320

Kermit Randall Miller is a Mental Health Counselor based in Fort Wayne, IN and is specialized in Mental Health. Kermit Randall Miller practices in Fort Wayne, IN and has the professional credentials of MA. The NPI Number for Kermit Randall Miller is 1285822320 and holds a License No. (Indiana).

The current practice location address for Kermit Randall Miller is 2821 Hillegas Rd, Fort Wayne, IN and can be reached out via phone at 260-471-1950 and via fax at 260-471-1950.

Location: 2821 Hillegas Rd, Fort Wayne, IN, 46808-3859
person
Provider Profile Details
NPI Number
1285822320
Provider Name
Kermit Randall Miller
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
2821 Hillegas Rd, Fort Wayne, IN, 46808-3859
Phone Number
260-471-1950
Fax Number
260-471-1950
Provider Enumeration Date
10/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2821 Hillegas Rd
City
State
Zip
46808-3859
Phone Number
260-471-1950
Fax Number
260-471-1950
person
Provider Business Mailing Address Details
Address
2821 Hillegas Rd
City
State
Zip
46808-3859
Phone Number
260-471-1950
Fax Number
260-471-1950
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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