MEDICARE: KARA MILLER M.F.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	40210	CA

General Provider Information

NPI Number	:	1114941648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA MILLER M.F.T.

Provider Business Mailing Address
First Line	:	6380 DENTON WAY
Second Line	:	9
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-5163
Country	:	US
Telephone Number	:	916-990-4504
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 STOCKTON BLVD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-1337
Country	:	US
Telephone Number	:	916-875-4440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	12/28/2010

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