person
Kim M Miller, MS,LAC
Addiction (Substance Use Disorder) Counselor in Grand Forks, North Dakota
NPI 1932131836

Kim M Miller is an Addiction (Substance Use Disorder) Counselor based in Grand Forks, ND and is specialized in Addiction (Substance Use Disorder). Kim M Miller practices in Grand Forks, ND and has the professional credentials of MS,LAC. The NPI Number for Kim M Miller is 1932131836 and holds a License No. 962-7-15-18-342 (North Dakota).

The current practice location address for Kim M Miller is 2424 32Nd Ave S Ste 202, Grand Forks, ND and can be reached out via phone at 701-746-6336 and via fax at 701-772-1030.

Location: 2424 32Nd Ave S Ste 202, Grand Forks, ND, 58201-6510
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Provider Profile Details
NPI Number
1932131836
Provider Name
Kim M Miller
Credential
MS,LAC
Provider Entity Type
Individual
Gender
Female
Address
2424 32Nd Ave S Ste 202, Grand Forks, ND, 58201-6510
Phone Number
701-746-6336
Fax Number
701-772-1030
Provider Enumeration Date
07/07/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9G415MI 01 MN BCBS MN PROVIDER NUMBER
012461 01 ND BCBS ND PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2424 32Nd Ave S Ste 202
City
State
Zip
58201-6510
Phone Number
701-746-6336
Fax Number
701-772-1030
person
Provider Business Mailing Address Details
Address
2424 32Nd Ave S Ste 202
City
State
Zip
58201-6510
Phone Number
701-746-6336
Fax Number
701-772-1030
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1271 (North Dakota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
962-7-15-18-342 (North Dakota)
Definition
Definition to come...
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