Provider Demographics
NPI:1225385180
Name:MILLER, TOMASANN ALENA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:TOMASANN
Middle Name:ALENA
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:TOMASANN
Other - Middle Name:ALENA
Other - Last Name:LINDSAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1512
Mailing Address - Street 2:
Mailing Address - City:COARSEGOLD
Mailing Address - State:CA
Mailing Address - Zip Code:93614
Mailing Address - Country:US
Mailing Address - Phone:559-499-8998
Mailing Address - Fax:
Practice Address - Street 1:40258 HWY 41 UNIT B
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:CA
Practice Address - Zip Code:93644
Practice Address - Country:US
Practice Address - Phone:559-499-8998
Practice Address - Fax:209-966-8251
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT78797106H00000X
171M00000X
CALMFT131473106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator