Miller, Victoria Jolene
Miller, Victoria Jolene is an individual health care provider with primary practice located at 401 W Fallen Leaf Cir , Wasilla AK 99654-7989. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Miller, Victoria Jolene can be contacted via phone (866) 210-8282.Contact Information
Primary practice address
401 W Fallen Leaf Cir
Wasilla AK 99654-7989
Phone: (866) 210-8282
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
NPI number | 1144485194 |
---|---|
LBN Legal business name | Miller, Victoria Jolene |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2008 |
Last updated | Oct 19th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144485194 | NPPES |
Alaska | MEDICAID | 1020986 |
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