Individual provider · Type 1 NPI

Malik Raymond Miller, CASAC-T

Addiction (Substance Use Disorder) Counselor · Ridgewood, NY

NPI number 1700749470 Active

Practice location

1614 Weirfield St
Ridgewood, NY 11385-5350

Mailing address

30 Seaman Ave Apt 3M
New York, NY 10034-6312

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X41037 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1700749470

Malik Raymond Miller, CASAC-T's National Provider Identifier is 1700749470, issued on Dec 8, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ridgewood, NY. The record was last updated on Dec 8, 2025.