Individual
ANNIE MAREE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
482 N ROSEMEAD BLVD STE 207, PASADENA, CA 91107-3053
(626) 802-5492
(626) 325-9349
Mailing address
482 N ROSEMEAD BLVD STE 207, PASADENA, CA 91107-3053
(626) 802-5492
(626) 325-9349
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC52595
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912211871
GROUP NPI
—
01
—
ZZZ70107Y
BLUE SHIELD OF CALIFORNIA
—
Enumeration date
08/14/2013
Last updated
08/14/2013
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