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Individual

MS. TATUM MARIE MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
11000 BALDY MOUNTAIN RD, SANDPOINT, ID 83864-7250
(208) 304-4123
Mailing address
PO BOX 571, BROOKINGS, OR 97415-0049
(208) 304-4123

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C8957
OR
101YM0800X
Mental Health Counselor
Primary
LCPC-3942
ID

Other

Enumeration date
09/09/2009
Last updated
11/19/2025
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