Individual provider · Type 1 NPI

Kermit Randall Miller, MA

Mental Health Counselor · Fort Wayne, IN

NPI number 1285822320 Active

Practice location

2821 Hillegas Rd
Fort Wayne, IN 46808-3859

Call (260) 471-1950 Map

Fax (260) 471-1950

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1285822320

Kermit Randall Miller, MA's National Provider Identifier is 1285822320, issued on Oct 12, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 12, 2007.