Individual provider · Type 1 NPI
Kim Miller, CADC
Addiction (Substance Use Disorder) Counselor · Dixon, IL
NPI number
1568021137
Active
Practice location
748 Timber Creek Rd
Dixon, IL 61021-9564
Fax (815) 284-9267
Mailing address
602 S Summer Hill Rd
Polo, IL 61064-9101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 25047 (IL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1568021137
Kim Miller, CADC's National Provider Identifier is 1568021137, issued on Jun 7, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dixon, IL. The record was last updated on Jun 7, 2019.