Miller, Dustin
Miller, Dustin is an individual health care provider with primary practice located at 214 Main St # 228 , El Segundo CA 90245-3803. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Miller, Dustin can be contacted via phone (424) 210-5737.Contact Information
Primary practice address
214 Main St # 228
El Segundo CA 90245-3803
Phone: (424) 210-5737
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW121041 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 103970 | California |
Profile Details
| NPI number | 1205452679 |
|---|---|
| LBN Legal business name | Miller, Dustin |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2020 |
| Last updated | Jul 1st, 2024 - about last year |
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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