| Doctor Name: | MR. RONALD E MILLER |
| NPI Number: | 1265713499 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 3602 |
| Business Practice Address: | 401 W Chickasha Ave Chickasha, OK - 730182503 |
| Business Phone Number: | 5805042442 |
| Business Fax Number: | |
| Mailing Address: | 1715 Stout Rd, ARDMORE |
| State: | OK |
| Postal Code: | 734011239 |
| Phone Number: | 5805042442 |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2011 |
| NPI Last Update Date: | 05/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3602 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |