Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1043781511 |
---|---|
Provider Name | Ms. Meagan Alice Miller |
First Address | Taylorsville, CA 95983-9735 |
Second Address | Oroville, CA 95965-4945 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2018 |
Last Update Date | 10/12/2018 |