NPI 1013101351

Chantelle La Treice Miller, PSYD

Practitioner Rehabilitation Counselor Los Angeles, CA

Practice location

Address: 6617 5th Ave, Los Angeles, CA 90043-4532
Phone: (310) 404-4809
Fax: (213) 388-1473
Mailing address: 2500 Wilshire Blvd Fl 5, Los Angeles, CA 90057-4303

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X Licence RPS2009026 (CA)

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Registry record

NPI: 1013101351
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2007
Record last updated: 14 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.