Individual
BONNIE IRENE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12125 SHALE RIDGE LN, AUBURN, CA 95602-8880
(530) 885-1917
Mailing address
PO BOX 6028, AUBURN, CA 95604-6028
(530) 878-5166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
09/22/2022
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