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NPI Code Detail

MEDICARE: KRISTINE KATHERINE MILLER M.A., LLPC, TLLP

MEDICARE: KRISTINE KATHERINE MILLER M.A., LLPC, TLLP
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 Counselor6401012266MI
2103TC1900XCounseling Psychologist6301014682MI
3101YM0800XMental Health CounselorMH16965FL

General Provider Information

NPI Number : 1669774170
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE KATHERINE MILLER M.A., LLPC, TLLP
Provider Business Mailing Address
First Line : 15310 AMBERLY DR STE 250
Second Line :
City : TAMPA
State : FL
Zip : 33647-1642
Country : US
Telephone Number : 754-200-1224
Fax Number :
Provider Business Practice Location Address
First Line : 15310 AMBERLY DR STE 250
Second Line :
City : TAMPA
State : FL
Zip : 33647-1642
Country : US
Telephone Number : 754-200-1224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2010
Last Update Date : 08/22/2023

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