Individual
MS. KIMBERLY ANN MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW CDP
Contact information
Practice address
1101 MADISON ST STE 301, SEATTLE, WA 98104-3599
(206) 621-4618
Mailing address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 329-1760
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60091478
WA
1041C0700X
Clinical Social Worker
Primary
LW60455301
WA
Other
Enumeration date
04/23/2013
Last updated
03/01/2021
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