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Charles Roth Miller, MA,LPCC
Professional Counselor in Stillwater, Minnesota
NPI 1659724086

Charles Roth Miller is a Professional Counselor based in Stillwater, MN and is specialized in Professional. Charles Roth Miller practices in Stillwater, MN and has the professional credentials of MA,LPCC. The NPI Number for Charles Roth Miller is 1659724086 and holds a License No. CC03151 (Minnesota).

The current practice location address for Charles Roth Miller is 216 Myrtle St W Unit 2163, Stillwater, MN and can be reached out via phone at 612-702-5432.

Location: 216 Myrtle St W Unit 2163, Stillwater, MN, 55082-3545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659724086
Provider Name
Charles Roth Miller
Credential
MA,LPCC
Provider Entity Type
Individual
Gender
Male
Address
216 Myrtle St W Unit 2163, Stillwater, MN, 55082-3545
Phone Number
612-702-5432
Fax Number
Provider Enumeration Date
07/21/2016
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
216 Myrtle St W Unit 2163
City
Stillwater
State
Minnesota
Zip
55082-3545
Phone Number
612-702-5432
Fax Number
person
Provider Business Mailing Address Details
Address
216 Myrtle St W Unit 2163
City
Stillwater
State
Minnesota
Zip
55082-3545
Phone Number
612-702-5432
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
CC03151 (Minnesota)
Definition
Definition to come...
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