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Michael A Miller, CADC
Peer Specialist in Modesto, California
NPI 1295150837

Michael A Miller is a Peer Specialist based in Riverbank, CA. Michael A Miller practices in Modesto, CA and has the professional credentials of CADC. The NPI Number for Michael A Miller is 1295150837 and holds a License No. (California).

The current practice location address for Michael A Miller is 800 Scenic Dr, Modesto, CA and can be reached out via phone at 209-525-6150.

Location: 800 Scenic Dr, Modesto, CA, 95367-2718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295150837
Provider Name
Michael A Miller
Credential
CADC
Provider Entity Type
Individual
Gender
Male
Address
800 Scenic Dr, Modesto, CA, 95367-2718
Phone Number
209-525-6150
Fax Number
Provider Enumeration Date
02/19/2014
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17500000X 05 CA
institution
Provider Business Practice Location Address Details
Address
800 Scenic Dr
City
Modesto
State
California
Zip
95350-6131
Phone Number
209-525-6150
Fax Number
person
Provider Business Mailing Address Details
Address
800 Scenic Dr
City
Modesto
State
California
Zip
95350-6131
Phone Number
209-525-6150
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
C10261214 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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