DUSTIN SHANE MILLER

SACRAMENTO, CA
NPI1134369515
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-02-25
Last Update Date2009-02-25
Business Address
-- DUSTIN SHANE MILLER
1914 22ND ST
SACRAMENTO, CA 95816-7109
Phone number: 916-455-6258
Mailing Address
-- DUSTIN SHANE MILLER
1914 22ND ST
SACRAMENTO, CA 95816-7109
Phone number: 916-455-6258
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