MAVERICK GUNNER MILLER

WAVERLY, OH
NPI1659058212
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2023-07-05
Last Update Date2023-07-05
Business Address
MAVERICK GUNNER MILLER
14574 US HIGHWAY 23
WAVERLY, OH 45690-9373
Phone number: 740-912-9126
Mailing Address
MAVERICK GUNNER MILLER
410 FRANKLIN AVE
WAVERLY, OH 45690-1543
Phone number: 740-771-5845