MICHAEL MILLER

MATTOON, IL
NPI1245896109
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-05-16
Last Update Date2019-05-16
Business Address
MICHAEL MILLER BA, MHP
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
Mailing Address
MICHAEL MILLER BA, MHP
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700