Provider Demographics
NPI:1518369941
Name:MILLER, JANET RAE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:RAE
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-0370
Mailing Address - Country:US
Mailing Address - Phone:626-676-5942
Mailing Address - Fax:858-724-3585
Practice Address - Street 1:1343 STRATFORD CT
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-2327
Practice Address - Country:US
Practice Address - Phone:626-676-5942
Practice Address - Fax:858-724-3585
Is Sole Proprietor?:No
Enumeration Date:2014-09-17
Last Update Date:2019-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108100106H00000X
106H00000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist