Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Jeanne Miller, LADCSUPERVISOR

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1760356158

Kimberly Jeanne Miller, LADCSUPERVISOR is an Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2025

Practice location Address checks out

1624 Harmon Pl Ste 203
Minneapolis, MN 55403-1902
Phone: (510) 208-8202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 306301 (MN)

Record details

NPI number1760356158
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADCSUPERVISOR
Sole proprietorYes
NPI enumeratedSeptember 30, 2025
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 29, 2025

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