Doctor Name: | ANGELA MILLER |
NPI Number: | 1306039631 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC, LCSW |
License Number: | 1302 |
Business Practice Address: | 1 Cheyenne Lane Lame Deer, MT - 59043 |
Business Phone Number: | 4067483395 |
Business Fax Number: | 4064941724 |
Mailing Address: | 416 Wildrye St, Po Box 996 COLSTRIP |
State: | MT |
Postal Code: | 593239501 |
Phone Number: | 4067483395 |
Fax Number: | 4064941724 |
NPI Enumeration Date: | 08/21/2007 |
NPI Last Update Date: | 09/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1302 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |