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NPI Code Detail

MEDICARE: MR. DURAND MILLER JR. LPC

MEDICARE: MR. DURAND MILLER JR. LPC
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 Counselor6401019358MI

General Provider Information

NPI Number : 1366212888
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DURAND MILLER JR. LPC
Provider Business Mailing Address
First Line : 36880 WOODWARD AVE STE 108
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48304-0920
Country : US
Telephone Number : 860-280-7917
Fax Number :
Provider Business Practice Location Address
First Line : 36880 WOODWARD AVE STE 108
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48304-0920
Country : US
Telephone Number : 860-280-7917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2024
Last Update Date : 01/05/2024

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Directions to “ MR. DURAND MILLER JR. LPC” Practice Location

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