| Doctor Name: | CAROL ANN MILLER |
| NPI Number: | 1457528432 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MAC |
| License Number: | 6401010841 |
| Business Practice Address: | 9249 W Lake City Rd Houghton Lake, MI - 486299602 |
| Business Phone Number: | 9894225122 |
| Business Fax Number: | 9894224378 |
| Mailing Address: | 9249 W Lake City Rd, HOUGHTON LAKE |
| State: | MI |
| Postal Code: | 486299602 |
| Phone Number: | 9894225122 |
| Fax Number: | 9894224378 |
| NPI Enumeration Date: | 05/09/2008 |
| NPI Last Update Date: | 05/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401010841 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |