Individual
DIANE VIRGINIA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
6505 216TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043-2089
(425) 640-7009
Mailing address
13320 HIGHWAY 99 UNIT 82, EVERETT, WA 98204-5450
(425) 217-6596
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00005917
WA
101YM0800X
Mental Health Counselor
Primary
LH60203932
WA
Other
Enumeration date
11/05/2010
Last updated
08/24/2022
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