Charles Roth Miller, MA, LPCC
NPI #1659724086 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1659724086
- Entity Type
- Individual
- Name
- Charles Roth Miller, MA, LPCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- MA, LPCC
- Enumeration Date
- Jul 21, 2016
- Last Updated
- Jun 18, 2024
Practice Location
- Address
- 216 MYRTLE ST W UNIT 2163
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-3545
- Phone
- (612) 702-5432
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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