Provider Demographics
NPI:1063816692
Name:MILLER, ALLISON (CSW-I)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:CSW-I
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:KROHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3671 SHALE CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-1247
Mailing Address - Country:US
Mailing Address - Phone:775-971-8227
Mailing Address - Fax:
Practice Address - Street 1:3671 SHALE CT
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-1247
Practice Address - Country:US
Practice Address - Phone:775-971-8227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
NVIC-13981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst