Miller, Joan L

Miller, Joan L is an individual health care provider with primary practice located at 3900 W Brown Deer Rd Suite 200, Brown Deer WI 53209. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Miller, Joan L can be contacted via phone (414) 540-2170.

Contact Information

Primary practice address
3900 W Brown Deer Rd Suite 200 Brown Deer WI 53209
Fax: (414) 540-2171
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 7000123 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 7000123 Wisconsin

Profile Details

NPI number 1083715916
LBN Legal business name Miller, Joan L
Credentials MSW LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083715916 NPPES
Wisconsin MEDICAID 40938000

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