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Mr. Larry Joe Miller
Counselor in Fairfield, California
NPI 1124180930

Larry Joe Miller is a Counselor based in Fairfield, CA. Larry Joe Miller practices in Fairfield, CA. The NPI Number for Larry Joe Miller is 1124180930 and holds a License No. (California).

The current practice location address for Larry Joe Miller is 2206 Santa Cruz Dr, Fairfield, CA and can be reached out via phone at 707-438-1025.

Location: 2206 Santa Cruz Dr, Fairfield, CA, 94533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124180930
Provider Name
Larry Joe Miller
Credential
Provider Entity Type
Individual
Gender
Male
Address
2206 Santa Cruz Dr, Fairfield, CA, 94533
Phone Number
707-438-1025
Fax Number
Provider Enumeration Date
12/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2206 Santa Cruz Dr
City
Fairfield
State
California
Zip
94533
Phone Number
707-438-1025
Fax Number
person
Provider Business Mailing Address Details
Address
2206 Santa Cruz Dr
City
Fairfield
State
California
Zip
94533
Phone Number
707-438-1025
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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