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NPI Code Detail

MEDICARE: DANIELLE MILLER LCDC, CDCA, PEER CER

MEDICARE: DANIELLE MILLER LCDC, CDCA, PEER CER
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
1171M00000XCase Manager/Care Coordinator
2101YA0400XAddiction (Substance Use Disorder) CounselorLCDCII.161957OH
3101Y00000XCounselorOH
4101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.171804OH
5101YM0800XMental Health Counselor423753OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982182663
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE MILLER LCDC, CDCA, PEER CER
Provider Business Mailing Address
First Line : 515 E ELIZA ST
Second Line :
City : KENTON
State : OH
Zip : 43326-1419
Country : US
Telephone Number : 567-209-3330
Fax Number :
Provider Business Practice Location Address
First Line : 1628 SPRINGFIELD ST
Second Line :
City : DAYTON
State : OH
Zip : 45403-1430
Country : US
Telephone Number : 937-802-5440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2018
Last Update Date : 12/14/2025

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