| Kimberly Miller, Lmft, Inc. | |
|
3220 S Higuera St Ste 303 San Luis Obispo CA 93401-6988 | |
| (805) 235-1585 | |
| Not Available |
| Full Name | Kimberly Miller, Lmft, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3220 S Higuera St Ste 303, San Luis Obispo, California |
| Authorized Official Name and Position | Kimberly Miller (OWNER) |
| Authorized Official Contact | 8052351585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Miller, Lmft, Inc. 3220 S Higuera St Ste 303 San Luis Obispo CA 93401-6988 Ph: (805) 235-1585 | Kimberly Miller, Lmft, Inc. 3220 S Higuera St Ste 303 San Luis Obispo CA 93401-6988 Ph: (805) 235-1585 |
| NPI Number | 1629831326 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Medicare PECOS PAC ID | 1254778244 |
|---|---|
| Medicare Enrollment ID | O20240326003559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629831326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Kimberly Miller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053332445 PECOS PAC ID: 2163869157 Enrollment ID: I20240326003640 |
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