Provider Demographics
NPI:1407039472
Name:MILLIRON, MEGHAN DANIELLE (MS, LMHC, LMP)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:DANIELLE
Last Name:MILLIRON
Suffix:
Gender:F
Credentials:MS, LMHC, LMP
Other - Prefix:MS
Other - First Name:MEGHAN
Other - Middle Name:DANIELLE
Other - Last Name:MORSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1880 FISHER ST
Mailing Address - Street 2:
Mailing Address - City:DUPONT
Mailing Address - State:WA
Mailing Address - Zip Code:98327-9788
Mailing Address - Country:US
Mailing Address - Phone:253-279-9409
Mailing Address - Fax:
Practice Address - Street 1:5515 STEILACOOM BLVD SW
Practice Address - Street 2:SUITE 124
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-3105
Practice Address - Country:US
Practice Address - Phone:253-279-9409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-12
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60160578101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health