Provider Demographics
NPI:1508048232
Name:MILLER, DEBBIE JA (LMFT)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:JA
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:DEBBIE
Other - Middle Name:ABIGAIL
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:402 S 4TH AVE
Mailing Address - Street 2:COMPREHENSIVE HEALTH
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902
Mailing Address - Country:US
Mailing Address - Phone:509-317-8902
Mailing Address - Fax:509-225-6313
Practice Address - Street 1:402 S 4TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3546
Practice Address - Country:US
Practice Address - Phone:509-317-8902
Practice Address - Fax:509-225-6313
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK847106H00000X
WALF60385682106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist