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NPI Code Detail

MEDICARE: MS. NORMA JOAN MILLER LCPC, RDDP

MEDICARE:  MS. NORMA JOAN MILLER  LCPC, RDDP
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
1101YA0400XAddiction (Substance Use Disorder) Counselor26099IL
2101YP2500XProfessional Counselor180000610IL
3101YM0800XMental Health Counselor180000610IL

General Provider Information

NPI Number : 1932338092
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NORMA JOAN MILLER LCPC, RDDP
Provider Business Mailing Address
First Line : 3950 N LAKE SHORE DR
Second Line : APT. 1206B
City : CHICAGO
State : IL
Zip : 60613-3408
Country : US
Telephone Number : 773-883-1452
Fax Number : 847-455-0744
Provider Business Practice Location Address
First Line : 3950 N LAKE SHORE DR
Second Line : APT. 1206B
City : CHICAGO
State : IL
Zip : 60613-3408
Country : US
Telephone Number : 773-883-1452
Fax Number : 847-455-0744
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2009
Last Update Date : 07/11/2009

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