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NPI Code Detail

MEDICARE: SUMMER MILLER

MEDICARE:   SUMMER  MILLER
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1952117004
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMMER MILLER
Provider Business Mailing Address
First Line : 1014 AVENUE H STE 1
Second Line :
City : FORT MADISON
State : IA
Zip : 52627-4507
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1014 AVENUE H STE 1
Second Line :
City : FORT MADISON
State : IA
Zip : 52627-4507
Country : US
Telephone Number : 319-372-7689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2024
Last Update Date : 12/04/2024

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Directions to “ SUMMER MILLER ” Practice Location

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