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NPI Code Detail

MEDICARE: REAGAN MILLER MS

MEDICARE:   REAGAN  MILLER  MS
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1740911692
Entity Type Code : Individual
Provider Name (Legal Business Name) : REAGAN MILLER MS
Provider Business Mailing Address
First Line : 2625 REDWING RD STE 370
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-6314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2625 REDWING RD STE 370
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-6314
Country : US
Telephone Number : 720-446-9828
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2022
Last Update Date : 08/04/2022

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Directions to “ REAGAN MILLER MS” Practice Location

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