JOHN SAMUEL MILLER

GRAND RAPIDS, MN
NPI1659079432
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN  305001)
Enumeration Date2023-02-21
Last Update Date2023-02-21
Business Address
JOHN SAMUEL MILLER LADC
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744-4201
Phone number: 218-256-0841
Mailing Address
JOHN SAMUEL MILLER LADC
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744-4201
Phone number: 218-256-0841