Individual
TAWNYA R MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TYPE 1 PROVIDER
Contact information
Practice address
499 W. 4TH AVE., SHELTERCARE, EUGENE, OR 97401
(541) 686-1262
Mailing address
506 W CENTENNIAL BLVD #44, SPRINGFIELD, OR 97477
(541) 743-1869
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/23/2014
Last updated
08/18/2015
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