Provider Information for 1780190538
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Mr. ERNEST H. MILLER LPC, CSAC
Sex: Male
NPI: 1780190538
Last Updated: 2024-04-23
Certification Date: 2024-04-23
Certification Date: 2024-04-23
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1780190538 | ||||||||||||
| Enumeration Date | 2017-12-15 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 400 W RIVER DR WEST BEND, WI 53090-1518 United States Phone: 262-334-4340 | Fax:262-334-4341 | ||||||||||||
| Primary Practice Address | 400 W RIVER DR WEST BEND, WI 53090-1518 United States Phone: 262-334-4340 | Fax:262-334-4341 | ||||||||||||
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