Individual provider · Type 1 NPI

Kelly Ann Miller

Mental Health Counselor · San Rafael, CA

NPI number 1255046934 Active

Practice location

1330 Lincoln Ave Ste 201
San Rafael, CA 94901-2142

Call (415) 459-5999 Map

Fax (415) 459-5602

Mailing address

4558 Robinson Rd
Vacaville, CA 95688-9348

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Marriage & Family Therapist 106H00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed

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About NPI 1255046934

Kelly Ann Miller's National Provider Identifier is 1255046934, issued on Jan 18, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Jan 18, 2023.