Doctor Name: | MR. CRAIG WILLIAM MILLER |
NPI Number: | 1174632814 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. |
License Number: | 00892 |
Business Practice Address: | 6058 S Chestnut St Suite 100 Platteville, WI - 538188947 |
Business Phone Number: | 6083424853 |
Business Fax Number: | |
Mailing Address: | 628 Walnut Ridge St, PEOSTA |
State: | IA |
Postal Code: | 520689439 |
Phone Number: | 5635839805 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 00892 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |