| Doctor Name: | ANNA MILLER |
| NPI Number: | 1043597958 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A, NCC, LCPC, CADC |
| License Number: | 25577 |
| Business Practice Address: | 671 S Lewis Ave Waukegan, IL - 600856101 |
| Business Phone Number: | 8477824154 |
| Business Fax Number: | 8477821030 |
| Mailing Address: | 671 S Lewis Ave, WAUKEGAN |
| State: | IL |
| Postal Code: | 600856101 |
| Phone Number: | 8477824154 |
| Fax Number: | 8477821030 |
| NPI Enumeration Date: | 11/05/2011 |
| NPI Last Update Date: | 03/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 25577 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |