Miller, Vanessa Marie
Miller, Vanessa Marie is an sole proprietor health care provider with primary practice located at 884 W Park Ave , Port Townsend WA 98368-2273. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Miller, Vanessa Marie can be contacted via phone (360) 385-0321.Contact Information
Primary practice address
884 W Park Ave
Port Townsend WA 98368-2273
Phone: (360) 385-0321
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Washington | |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | MC61247527 | Washington |
Profile Details
| NPI number | 1679629810 |
|---|---|
| LBN Legal business name | Miller, Vanessa Marie |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2007 |
| Last updated | Jan 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679629810 | NPPES |
| Oregon | MEDICAID | 197749 |
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