Provider Demographics
NPI:1609451657
Name:MILLER, ADRIAN RENEE (MSCP, LPC, CAADC)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:RENEE
Last Name:MILLER
Suffix:
Gender:F
Credentials:MSCP, LPC, CAADC
Other - Prefix:
Other - First Name:ADRIAN
Other - Middle Name:RENEE
Other - Last Name:CERESA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSCP, LPC, CAADC
Mailing Address - Street 1:3551 S PARK RD
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-1125
Mailing Address - Country:US
Mailing Address - Phone:412-609-4437
Mailing Address - Fax:
Practice Address - Street 1:60 TERENCE DR STE 302
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-4148
Practice Address - Country:US
Practice Address - Phone:412-945-0692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010336101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health