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NPI Code Detail

MEDICARE: MS. DEAH MILLER LMSW, LCAC

MEDICARE: MS. DEAH MILLER LMSW, LCAC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor058KS
2101YM0800XMental Health Counselor6463KS

General Provider Information

NPI Number : 1972926558
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEAH MILLER LMSW, LCAC
Provider Business Mailing Address
First Line : 714 S HILLSIDE ST
Second Line :
City : WICHITA
State : KS
Zip : 67211-3002
Country : US
Telephone Number : 316-295-4800
Fax Number : 316-295-4811
Provider Business Practice Location Address
First Line : 714 S HILLSIDE ST
Second Line :
City : WICHITA
State : KS
Zip : 67211-3002
Country : US
Telephone Number : 316-295-4800
Fax Number : 316-295-4811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2014
Last Update Date : 02/02/2014

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