Healthcare Provider Details

I. General information

NPI: 1831238070
Provider Name (Legal Business Name): ERIC KARL MILLER M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10017 251ST ST E
GRAHAM WA
98338-7075
US

IV. Provider business mailing address

PO BOX 354
GRAHAM WA
98338-0354
US

V. Phone/Fax

Practice location:
  • Phone: 253-597-8022
  • Fax:
Mailing address:
  • Phone: 253-597-8022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberMHC.LH.0003572
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00003572
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: