Individual provider · Type 1 NPI

Lonnie M. Miller

Mental Health Counselor · Fairbanks, AK

NPI number 1104121995 Active

Practice location

3830 S Cushman St
Fairbanks, AK 99701-7530

Fax (907) 455-5287

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104121995

Lonnie M. Miller's National Provider Identifier is 1104121995, issued on Jan 25, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairbanks, AK. The record was last updated on Jan 25, 2011.