Provider Demographics
NPI:1619984275
Name:MILLER, ROBIN L (LCPC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:L
Last Name:MILLER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 N HIGGINS AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4561
Mailing Address - Country:US
Mailing Address - Phone:406-493-7937
Mailing Address - Fax:
Practice Address - Street 1:415 N HIGGINS AVE STE 111
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4561
Practice Address - Country:US
Practice Address - Phone:406-493-7937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT787101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional