Doctor Name: | MR. ALDEN LAKE MILLER |
NPI Number: | 1205087459 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. |
License Number: | 24867 |
Business Practice Address: | 486 Schetter Ave Coos Bay, OR - 974203366 |
Business Phone Number: | 5415217153 |
Business Fax Number: | |
Mailing Address: | Po Box 1056, 486 Schetter Av Coos Bay Or 974203366 (no Mail) NORTH BEND |
State: | OR |
Postal Code: | 974590003 |
Phone Number: | 5415217153 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2008 |
NPI Last Update Date: | 02/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 24867 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
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 |