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NPI Code Detail

MEDICARE: DEJA LORRAINE MILLER

MEDICARE:   DEJA LORRAINE 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
1172V00000XCommunity Health Worker
2106S00000XBehavior Technician
3390200000XStudent in an Organized Health Care Education/Training Program
4101Y00000XCounselor
5171M00000XCase Manager/Care Coordinator
61041C0700XClinical Social Worker147958CA
7106H00000XMarriage & Family Therapist147958CA

General Provider Information

NPI Number : 1629778535
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEJA LORRAINE MILLER
Provider Business Mailing Address
First Line : 7596 TWILIGHT DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95822-5740
Country : US
Telephone Number : 916-544-4986
Fax Number :
Provider Business Practice Location Address
First Line : 4250 AUBURN BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95841-4164
Country : US
Telephone Number : 916-489-3336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2023
Last Update Date : 03/28/2026

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