Individual
MICAELA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10757 N 55TH DR, GLENDALE, AZ 85304-3880
(602) 615-6085
Mailing address
10757 N 55TH DR, GLENDALE, AZ 85304-3880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC19937
AZ
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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