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General NPI Number Information
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NPI Number | 1902296387
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Entity Type | Individual
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Provider Name | DIANNA LYNN MILLER LCPC,CRADC,LMHC,LCAC
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Gender | Female
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Dates
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Enumeration Date | 01/23/2015
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 200 E CHICAGO AVE STE 30
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City | WESTMONT
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State | IL
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Zip | 60559-1756
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Country | US
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Telephone | 630-481-4101
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Fax |
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Provider Business Mailing Address
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Address Line | 200 E CHICAGO AVE STE 30
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City | WESTMONT
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State | IL
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Zip | 60559-1756
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Country | US
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Telephone | 708-769-1374
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 23238
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 87000115A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180009026
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 39002410A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.009026
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License Number State | IL
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