Individual provider · Type 1 NPI

Randolph Everett Miller, MFT

Marriage & Family Therapist · Mammoth Lakes, CA

NPI number 1619178977 Active

Practice location

452 Old Mammoth Road
Mammoth Lakes, CA 93546

Mailing address

PO Box 100 Pmb 220
Mammoth Lakes, CA 93546-0100

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1619178977

Randolph Everett Miller, MFT's National Provider Identifier is 1619178977, issued on May 31, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Mammoth Lakes, CA. The record was last updated on Jul 9, 2007.