Provider Demographics
NPI:1841335924
Name:MILLER, DANN LEE (AZ COUNSELING CERT)
Entity type:Individual
Prefix:MR
First Name:DANN
Middle Name:LEE
Last Name:MILLER
Suffix:
Gender:M
Credentials:AZ COUNSELING CERT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2492 S LARAMIE WAY
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-8604
Mailing Address - Country:US
Mailing Address - Phone:928-783-2193
Mailing Address - Fax:928-783-2195
Practice Address - Street 1:2492 S LARAMIE WAY
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-8604
Practice Address - Country:US
Practice Address - Phone:928-580-1630
Practice Address - Fax:928-783-2195
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1262675101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool