Individual
KATIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
740 E WARM SPRINGS AVE, BOISE, ID 83712-6420
(207) 343-7797
Mailing address
740 E WARM SPRINGS AVE, BOISE, ID 83712-6420
(207) 343-7797
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-6989
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194834010
—
ID
Enumeration date
07/09/2018
Last updated
07/09/2018
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