Provider Demographics
NPI:1194851881
Name:MILLER, LOUANNA WERCHAN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LOUANNA
Middle Name:WERCHAN
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:LOUANNA
Other - Middle Name:RUTH
Other - Last Name:WERCHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:619 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:IL
Mailing Address - Zip Code:61856-1431
Mailing Address - Country:US
Mailing Address - Phone:217-817-5060
Mailing Address - Fax:
Practice Address - Street 1:619 N STATE ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:IL
Practice Address - Zip Code:61856-1431
Practice Address - Country:US
Practice Address - Phone:217-817-5060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11859101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional