Healthcare Provider Details

I. General information

NPI: 1801905815
Provider Name (Legal Business Name): DANIEL MILLER M.A. ; MHP; LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16150 NE 85TH ST SUITE 222
REDMOND WA
98052-3539
US

IV. Provider business mailing address

18039 25TH AVE NE
SHORELINE WA
98155-3905
US

V. Phone/Fax

Practice location:
  • Phone: 425-869-6687
  • Fax: 877-880-4388
Mailing address:
  • Phone: 425-774-4269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLH60018127
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: