Provider Demographics
NPI:1083864961
Name:MILLER, DEBORA ANN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:DEBORA
Middle Name:ANN
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 950
Mailing Address - Street 2:
Mailing Address - City:COLFAX
Mailing Address - State:CA
Mailing Address - Zip Code:95713-0950
Mailing Address - Country:US
Mailing Address - Phone:530-401-2355
Mailing Address - Fax:530-346-7909
Practice Address - Street 1:164 MAPLE ST STE 5
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-5049
Practice Address - Country:US
Practice Address - Phone:530-401-2355
Practice Address - Fax:530-823-7701
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-26
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC53991106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist