Individual
MR. DARYL WAYNE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
425 E SANTA CLARA ST, SAN JOSE, CA 95113-1936
(669) 245-3429
(408) 800-4095
Mailing address
425 E SANTA CLARA ST, SAN JOSE, CA 95113-1936
(669) 245-3429
(408) 800-4095
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
A050701118
CA
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
07/02/2025
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