Provider Demographics
NPI:1851035539
Name:MILLER, LAUREN ELIZABETH BUSCH (LMFT, LPCC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELIZABETH BUSCH
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMFT, LPCC
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 721824
Mailing Address - Street 2:
Mailing Address - City:PINON HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92372-1824
Mailing Address - Country:US
Mailing Address - Phone:760-912-7883
Mailing Address - Fax:
Practice Address - Street 1:1710 BARTON ROAD
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92371
Practice Address - Country:US
Practice Address - Phone:760-912-7883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional