| Doctor Name: | CAROL ANN MILLER |
| NPI Number: | 1851782478 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PASTORAL COUNSELOR |
| License Number: | |
| Business Practice Address: | 8690 Neal Rd Kinmundy, IL - 628542746 |
| Business Phone Number: | 6182452517 |
| Business Fax Number: | 6185512753 |
| Mailing Address: | 8690 Neal Rd, KINMUNDY |
| State: | IL |
| Postal Code: | 628542746 |
| Phone Number: | 6182452517 |
| Fax Number: | 6185512753 |
| NPI Enumeration Date: | 02/18/2015 |
| NPI Last Update Date: | 04/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |