Individual
CHANTELLE LA TREICE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6617 5TH AVE, LOS ANGELES, CA 90043-4532
(310) 404-4809
(213) 388-1473
Mailing address
2500 WILSHIRE BLVD FL 5, LOS ANGELES, CA 90057-4303
(213) 639-0266
(213) 388-1473
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
RPS2009026
CA
Other
Enumeration date
08/29/2007
Last updated
04/14/2011
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