MEDICARE: SEAN BRANDON MILLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	304610	MN
2	106H00000X	Marriage & Family Therapist	4364	MN

General Provider Information

NPI Number	:	1073142725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN BRANDON MILLER

Provider Business Mailing Address
First Line	:	10179 192ND LN NW
Second Line	:
City	:	ELK RIVER
State	:	MN
Zip	:	55330-0140
Country	:	US
Telephone Number	:	763-242-5649
Fax Number	:

Provider Business Practice Location Address
First Line	:	9201 75TH AVE N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55428-1024
Country	:	US
Telephone Number	:	763-315-7173
Fax Number	:	763-951-3097

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2020
Last Update Date	:	08/03/2022

Similar Medicare Providers

1144244047 — MR. DUANE G SCHAEFER LADC
Practice Location Address:

9201 75TH AVE N
BROOKLYN PARK, MN
55428-1024

Practice Phone: 633-157-1707
Practice Fax: 763-315-7174

1447084884 — CRYSTA ROCHELE CADALBERT LADC
Practice Location Address:

9201 75TH AVE N
BROOKLYN PARK, MN
55428-1024

Practice Phone: 763-315-7170
Practice Fax: 763-315-7177

1982715694 — KAREN M SAGOR LCSW
Practice Location Address:

285 SCHERMERHORN ST
BROOKLYN, NY
11217-1024

Practice Phone: 718-310-5809
Practice Fax: 718-858-2967

1669548046 — BROOKLYN BUREAU OF COMMUNITY SERVICE
Practice Location Address:

540 ATLANTIC AVENUE 2ND FLOOR , DAY HABILITATION SERVICES
BROOKLYN, NY
11217-1024

Practice Phone: 718-943-4247
Practice Fax: 718-596-4589

1760541783 — BROOKLYN BUREAU OF COMMUNITY SERVICE
Practice Location Address:

285 SCHERMERHORN STREET , SUPPORTED EMPLOYMENT 5TH FLOOR
BROOKLYN, NY
11217-1024

Practice Phone: 718-310-5777
Practice Fax: 718-310-5879

1730248758 — BROOKLYN BUREAU OF COMMUNITY SERVICE
Practice Location Address:

285 SCHERMERHORN STREET , MEDICAID SERVICE COORDINATOR 6TH FLOOR
BROOKLYN, NY
11217-1024

Practice Phone: 718-310-5796
Practice Fax: 718-310-5879

Directions to “ SEAN BRANDON MILLER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.