Doctor Name: | MICHELLE KATHLEEN MILLER |
NPI Number: | 1043591522 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | CG60227767 |
Business Practice Address: | 340 Ne Maple St Pullman, WA - 991634120 |
Business Phone Number: | 5093341133 |
Business Fax Number: | 5093321608 |
Mailing Address: | 340 Ne Maple St, PULLMAN |
State: | WA |
Postal Code: | 991634120 |
Phone Number: | 5093341133 |
Fax Number: | 5093321608 |
NPI Enumeration Date: | 08/29/2011 |
NPI Last Update Date: | 08/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | CG60227767 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |