Whalio Doctors

NPI 1073142725

Sean Brandon Miller

Practitioner Marriage & Family Therapist Brooklyn Park, MN

Practice location

Address
9201 75th Ave N, Brooklyn Park, MN 55428-1024
Phone
(763) 315-7173
Fax
(763) 951-3097
Mailing address
10179 192nd Ln NW, Elk River, MN 55330-0140

Registered specialties (2)

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 4364 (MN)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 304610 (MN)

Registry record

NPI
1073142725
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Apr 2020
Record last updated
3 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.