MEDICARE: KRISTIN 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
1	101YM0800X	Mental Health Counselor	PC014938	PA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	101Y00000X	Counselor
4	101YP2500X	Professional Counselor	PC014938	PA

General Provider Information

NPI Number	:	1285223669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN MILLER

Provider Business Mailing Address
First Line	:	128 HOMER CIRCLE
Second Line	:
City	:	MCKEES ROCKS
State	:	PA
Zip	:	15136
Country	:	US
Telephone Number	:	724-709-4667
Fax Number	:

Provider Business Practice Location Address
First Line	:	20399 RT 19
Second Line	:	STE 120
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066
Country	:	US
Telephone Number	:	724-709-4667
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2021
Last Update Date	:	02/05/2026

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Directions to “ KRISTIN MILLER ” Practice Location

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