LORETTA MILLER MA, LAC, LPC
NPI 1720574882
Counselor - Professional in Boulder, CO
Active since July 02, 2018
About Loretta Miller Ma, Lac, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LORETTA MILLER MA, LAC, LPC (NPI 1720574882) is an individual professional provider in Boulder, Colorado, licensed in Colorado (LPC.0014666) and active in the NPI registry since July 2018.
NPPES Registry Identity
NPI1720574882
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLORETTA MILLERCredential: MA, LAC, LPC
Location Address75 MANHATTAN DR STE 207Boulder, CO 80303-4253
Mailing Address75 Manhattan Dr Ste 207Boulder, CO 80303-4253
Phone(303) 304-1421
Sole ProprietorYes
Enumeration DateJuly 2, 2018
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1720574882 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0014666
75 MANHATTAN DR STE 207, Boulder, CO 80303
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720574882, enumerated as an "individual" on July 02, 2018.
The provider is located at 75 MANHATTAN DR STE 207 BOULDER, CO 80303 and the phone number is (303) 304-1421.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
