Miller, Alden Lake

Miller, Alden Lake is an sole proprietor health care provider with primary practice located at 486 Schetter Ave , Coos Bay OR 97420-3366. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Miller, Alden Lake can be contacted via phone (541) 521-7153.

Contact Information

Primary practice address
486 Schetter Ave Coos Bay OR 97420-3366
Phone: (541) 521-7153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 24867 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 94-10-114 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 011092 Oregon
Behavioral Health & Social Service Providers / Professional 101YP2500X C0770 Oregon
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0064 Oregon
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 105700-3902 Utah

Profile Details

NPI number 1205087459
LBN Legal business name Miller, Alden Lake
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2008
Last updated Feb 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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