Provider Demographics
NPI:1699358291
Name:MILLER, JUSTIN CRAIG (LMHC)
Entity Type:Individual
Prefix:MR
First Name:JUSTIN
Middle Name:CRAIG
Last Name:MILLER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1164 BISHOP ST STE 930
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-6705
Mailing Address - Country:US
Mailing Address - Phone:808-638-3870
Mailing Address - Fax:808-829-3070
Practice Address - Street 1:1164 BISHOP ST STE 930
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-6705
Practice Address - Country:US
Practice Address - Phone:808-638-3870
Practice Address - Fax:808-829-3070
Is Sole Proprietor?:No
Enumeration Date:2021-04-30
Last Update Date:2021-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-742101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health