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NPI Code Detail

MEDICARE: DENISE LEE MILLER

MEDICARE: DENISE LEE 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 CounselorLH60695935WA

General Provider Information

NPI Number : 1043531221
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE LEE MILLER
Provider Business Mailing Address
First Line : 10790 JORDAN RD
Second Line :
City : BURLINGTON
State : WA
Zip : 98233-9798
Country : US
Telephone Number : 360-214-4397
Fax Number :
Provider Business Practice Location Address
First Line : 117 N 1ST ST STE 55
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98273-2858
Country : US
Telephone Number : 360-214-4397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2010
Last Update Date : 07/21/2022

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