Mark Miller's National Provider Identifier (NPI) Details
Mark Miller, LPC
NPI: 1386111250
Enumeration Date: 2018-10-30
Last updated: 2018-10-30
Sole Proprietor: YES
Status: active
Postal Address: 3605 CALUMET ST, PHILADELPHIA, PA
Phone: 267-879-2152
Primary Practice Address: 3605 CALUMET ST, PHILADELPHIA, PA
Practice's phone: 267-879-2152