Individual provider · Type 1 NPI
Larry Joe Miller
Counselor · Fairfield, CA
NPI number
1124180930
Active
Practice location
2206 Santa Cruz Dr
Fairfield, CA 94533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1124180930
Larry Joe Miller's National Provider Identifier is 1124180930, issued on Dec 15, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fairfield, CA. The record was last updated on Jul 8, 2007.