Individual
DR. NANCY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1450 W 7TH ST, SAN PEDRO, CA 90732-3516
(310) 832-3140
Mailing address
1450 W 7TH ST, SAN PEDRO, CA 90732-3516
(310) 832-3140
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
101YP1600X
Pastoral Counselor
—
CA
101YP2500X
Professional Counselor
Primary
—
CA
103TC1900X
Counseling Psychologist
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346372281
BLUE SHIELD,
CA
Enumeration date
03/09/2007
Last updated
10/31/2016
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