Miller, Diane Virginia

Miller, Diane Virginia is an sole proprietor health care provider with primary practice located at 6505 216Th St Sw Ste 100 , Mountlake Terrace WA 98043-2089. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Miller, Diane Virginia can be contacted via phone (425) 640-7009.

Contact Information

Primary practice address
6505 216Th St Sw Ste 100 Mountlake Terrace WA 98043-2089
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP00005917 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH60203932 Washington

Profile Details

NPI number 1760783823
LBN Legal business name Miller, Diane Virginia
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2010
Last updated Aug 24th, 2022 - about 2 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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