Doctor Name: | CARROLL MILLER |
NPI Number: | 1073794293 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS |
License Number: | 0438 |
Business Practice Address: | 1100 Walnut St Owensboro, KY - 423012956 |
Business Phone Number: | 2706896500 |
Business Fax Number: | 2706896677 |
Mailing Address: | 1100 Walnut St, OWENSBORO |
State: | KY |
Postal Code: | 423012956 |
Phone Number: | 2706896500 |
Fax Number: | 2706896677 |
NPI Enumeration Date: | 11/15/2007 |
NPI Last Update Date: | 11/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0438 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |