| Doctor Name: | MS. KATHERINE ROSE MILLER |
| NPI Number: | 1992004758 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW, LADC |
| License Number: | 000448 |
| Business Practice Address: | 160 Summer St Lanesboro, MA - 012379520 |
| Business Phone Number: | 4134430018 |
| Business Fax Number: | |
| Mailing Address: | 160 Summer St, Po Box 1476 LANESBORO |
| State: | MA |
| Postal Code: | 012379520 |
| Phone Number: | 4134430018 |
| Fax Number: | |
| NPI Enumeration Date: | 03/19/2011 |
| NPI Last Update Date: | 03/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 000448 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |