Individual provider · Type 1 NPI
Kimberly Jeanne Miller, LADC SUPERVISOR
Addiction (Substance Use Disorder) Counselor · Minneapolis, MN
NPI number
1760356158
Active
Practice location
1624 Harmon Pl Ste 203
Minneapolis, MN 55403-1902
Mailing address
5108 W 74th St Ste 776
Edina, MN 55439-2464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 306301 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1760356158
Kimberly Jeanne Miller, LADC SUPERVISOR's National Provider Identifier is 1760356158, issued on Sep 30, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 30, 2025.