Provider Demographics
NPI:1669817979
Name:MILLER, ANDREA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32156 33RD AVE SW
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-2275
Mailing Address - Country:US
Mailing Address - Phone:253-486-3511
Mailing Address - Fax:
Practice Address - Street 1:33440 1ST WAY S
Practice Address - Street 2:SUITE # 205
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6222
Practice Address - Country:US
Practice Address - Phone:253-486-3511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60357533101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health