| Doctor Name: | ELIZABETH ANNE MILLER |
| NPI Number: | 1144679341 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., LPC |
| License Number: | 2014011575 |
| Business Practice Address: | 304 S Franklin St Suite 300 Kirksville, MO - 635013581 |
| Business Phone Number: | 6606199315 |
| Business Fax Number: | |
| Mailing Address: | 30081 Kiln Rd, LA PLATA |
| State: | MO |
| Postal Code: | 635494108 |
| Phone Number: | 6603496700 |
| Fax Number: | 5733033771 |
| NPI Enumeration Date: | 06/08/2016 |
| NPI Last Update Date: | 06/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2014011575 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |