Provider Demographics
NPI:1215413976
Name:MILLER, ANNA CLARK (LPC, MHC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:CLARK
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPC, MHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1927 NE 101ST CIR
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-1317
Mailing Address - Country:US
Mailing Address - Phone:972-835-8008
Mailing Address - Fax:
Practice Address - Street 1:1927 NE 101ST CIR
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-1317
Practice Address - Country:US
Practice Address - Phone:972-835-8008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61328702101YM0800X
TX75728101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health