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Russell W Miller, MS
Mental Health Counselor in New Bloomfield, Missouri
NPI 1730167537

Russell W Miller is a Mental Health Counselor based in New Bloomfield, MO and is specialized in Mental Health. Russell W Miller practices in New Bloomfield, MO and has the professional credentials of MS. The NPI Number for Russell W Miller is 1730167537 and holds a License No. 2001018057 (Missouri).

The current practice location address for Russell W Miller is 2755 State Road Tt, New Bloomfield, MO and can be reached out via phone at 573-690-4614 and via fax at 573-896-8956.

Location: 2755 State Road Tt, New Bloomfield, MO, 65063-1642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730167537
Provider Name
Russell W Miller
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
2755 State Road Tt, New Bloomfield, MO, 65063-1642
Phone Number
573-690-4614
Fax Number
573-896-8956
Provider Enumeration Date
01/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
499125102 05 MO
institution
Provider Business Practice Location Address Details
Address
2755 State Road Tt
City
New Bloomfield
State
Missouri
Zip
65063-1642
Phone Number
573-690-4614
Fax Number
573-896-8956
person
Provider Business Mailing Address Details
Address
2755 State Road Tt
City
New Bloomfield
State
Missouri
Zip
65063-1642
Phone Number
573-690-4614
Fax Number
573-896-8956
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
2001018057 (Missouri)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
2001018057 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2001018057 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2001018057 (Missouri)
Definition
Definition to come...
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