Individual
LINDSEY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
6860 BROCKTON AVE STE 9, RIVERSIDE, CA 92506-3816
(760) 912-7314
Mailing address
6860 BROCKTON AVE STE 9, RIVERSIDE, CA 92506-3816
(760) 912-7314
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1408741020
CA
175T00000X
Peer Specialist
Primary
DUFAYHMVWRXBJTGQ
CA
Other
Enumeration date
09/10/2021
Last updated
05/28/2026
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