Provider Demographics
NPI:1790887701
Name:MILLER, KAREN S (LCSW,CADACII)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:S
Last Name:MILLER
Suffix:
Gender:F
Credentials:LCSW,CADACII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 427
Mailing Address - Street 2:BOX 4226
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09630
Mailing Address - Country:US
Mailing Address - Phone:39044-471-7554
Mailing Address - Fax:30044-471-8380
Practice Address - Street 1:CMR 427
Practice Address - Street 2:BOX 4226
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09630
Practice Address - Country:IT
Practice Address - Phone:044-471-7554
Practice Address - Fax:044-471-8380
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXICRC21155101YA0400X
TXCADACII#121101YA0400X
TXSO80781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)