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
Phone: (425) 640-7009
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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