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NPI Code Detail

MEDICARE: AUBREY MILLER LPCC

MEDICARE: AUBREY MILLER LPCC
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
1101YP2500XProfessional CounselorCC05555MN

General Provider Information

NPI Number : 1164121976
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUBREY MILLER LPCC
Provider Business Mailing Address
First Line : 1155 NORTHLAND DR
Second Line :
City : MENDOTA HEIGHTS
State : MN
Zip : 55120-1288
Country : US
Telephone Number : 612-223-8898
Fax Number : 612-223-8899
Provider Business Practice Location Address
First Line : 1155 NORTHLAND DR
Second Line :
City : MENDOTA HEIGHTS
State : MN
Zip : 55120-1288
Country : US
Telephone Number : 612-223-8898
Fax Number : 612-223-8899
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2023
Last Update Date : 04/27/2026

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