Doctor Name: | MS. MARCIA MARIE MILLER |
NPI Number: | 1043609365 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 1030 Park St Woodland, WA - 986749423 |
Business Phone Number: | 3602196467 |
Business Fax Number: | |
Mailing Address: | Po Box 767, WOODLAND |
State: | WA |
Postal Code: | 986740800 |
Phone Number: | 3602196467 |
Fax Number: | |
NPI Enumeration Date: | 01/12/2015 |
NPI Last Update Date: | 01/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |