Individual
KRYSTIN EMMA MILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
4346 W ROSE HILL ST STE C, BOISE, ID 83705-5193
(208) 947-0608
(208) 621-0272
Mailing address
4346 W ROSE HILL ST STE C, BOISE, ID 83705-5193
(208) 947-0608
(208) 621-0272
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-3430
ID
Other
Enumeration date
08/03/2006
Last updated
09/21/2015
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