SHAJAVA SHEVOUGNE MILLER


Address: 425 2nd St Nw Ste 2north, Washington, DC 20001-2003
Phone: 2027837343

SHAJAVA SHEVOUGNE MILLER (NPI# 1609403849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609403849
Entity Type Individual
Full Name SHAJAVA SHEVOUGNE MILLER
Credential CAC-II
Practice Address 425 2nd St Nw Ste 2north
Washington
DC 20001-2003
Practice Telephone 2027837343
Mailing Telephone 2027837343
Enumeration Date 2020-03-26
Last Update Date 2020-03-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
1278 DC Behavioral Health & Social Service Providers

Office Location

Street Address 425 2ND ST NW STE 2NORTH
City WASHINGTON
State DC
Zip Code 20001-2003

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Competitor

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City WASHINGTON
Zip Code 20001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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