Doctor Name: | MRS. RONETTE MILLER |
NPI Number: | 1023219102 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CAADE |
License Number: | CAADE |
Business Practice Address: | 1357 Broadway Ste 100 El Cajon, CA - 920215811 |
Business Phone Number: | 6195881989 |
Business Fax Number: | 6195886282 |
Mailing Address: | 1357 Broadway Ste 100, EL CAJON |
State: | CA |
Postal Code: | 920215811 |
Phone Number: | 6195881989 |
Fax Number: | 6195886282 |
NPI Enumeration Date: | 05/29/2007 |
NPI Last Update Date: | 06/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CAADE |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |