MR. ADAM MILLER
NPI 1922175090
Counselor - Mental Health in Petaluma, CA
Active since November 30, 2006
About Mr. Adam Miller NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ADAM MILLER (NPI 1922175090) is an individual mental health provider in Petaluma, California and active in the NPI registry since November 2006.
NPPES Registry Identity
NPI1922175090
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. ADAM MILLER
Location Address5164 BODEGA AVEPetaluma, CA 94952-7605
Mailing Address5164 Bodega AvePetaluma, CA 94952-7605 · (707) 789-9691
Phone(415) 663-8231
Sole ProprietorNo
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1922175090 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5164 BODEGA AVE, Petaluma, CA 94952
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922175090, enumerated as an "individual" on November 30, 2006.
The provider is located at 5164 BODEGA AVE PETALUMA, CA 94952 and the phone number is (415) 663-8231.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
