Doctor Name: | COURTNEY MILLER |
NPI Number: | 1073954624 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LICSW |
License Number: | SC60227141 |
Business Practice Address: | 5803 232nd St Sw Mountlake Terrace, WA - 980434637 |
Business Phone Number: | 4258352831 |
Business Fax Number: | |
Mailing Address: | 5803 232nd St Sw, MOUNTLAKE TERRACE |
State: | WA |
Postal Code: | 980434637 |
Phone Number: | 4258352831 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2013 |
NPI Last Update Date: | 06/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SC60227141 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |