Provider Demographics
NPI:1972140267
Name:MILLER, KARY R (LCPC)
Entity Type:Individual
Prefix:MR
First Name:KARY
Middle Name:R
Last Name:MILLER
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18-6 E DUNDEE RD STE 220
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-7404
Mailing Address - Country:US
Mailing Address - Phone:224-634-4455
Mailing Address - Fax:
Practice Address - Street 1:18-6 E DUNDEE RD STE 220
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-7404
Practice Address - Country:US
Practice Address - Phone:224-634-4455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180012565101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health