Chantelle La Treice Miller, Psy.D.
Rehabilitation Counselor in Los Angeles, CA. Individual provider (NPI-1).
NPI number1013101351
StatusActive
Last updated in NPPESApr 14, 2011
Details
- NPI
- 1013101351
- Entity type
- Individual (NPI-1)
- Name
- Chantelle La Treice Miller
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2007
- Last updated
- Apr 14, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225C00000X | Rehabilitation Counselor | RPS2009026 | CA | Yes |
Practice location
6617 5th AveLos Angeles, CA 90043-4532
Phone 310-404-4809 · Fax 213-388-1473
Mailing address
2500 Wilshire Blvd Fl 5Los Angeles, CA 90057-4303
Phone 213-639-0266 · Fax 213-388-1473
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