Doctor Name: | MRS. LINDA M MILES |
NPI Number: | 1013188796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RS4344 |
Business Practice Address: | 1160 S Grand Ave Glendora, CA - 917405000 |
Business Phone Number: | 6263355980 |
Business Fax Number: | |
Mailing Address: | 11590 Central Ave, CHINO |
State: | CA |
Postal Code: | 917101921 |
Phone Number: | 9096202521 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2008 |
NPI Last Update Date: | 10/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | RS4344 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |