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Robert Miller

Counselor, Mental Health in Santa Cruz, CA. Individual provider (NPI-1).

NPI number1164042552
StatusActive
Last updated in NPPESApr 25, 2020

Details

NPI
1164042552
Entity type
Individual (NPI-1)
Name
Robert Miller
Sex
Male
Sole proprietor
No
Enumeration date
Apr 25, 2020
Certification date
Apr 25, 2020
Last updated
Apr 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

380 Encinal St Ste 200
Santa Cruz, CA 95060-2178

Phone 831-469-1700 · Fax 831-425-1905

Mailing address

380 Encinal St Ste 200
Santa Cruz, CA 95060-2178

Phone 831-469-1700 · Fax 831-425-1905

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