Individual
TONI MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ACADC (ID), LAC
Contact information
Practice address
2267 TETON PLZ, IDAHO FALLS, ID 83404-6486
(208) 522-0140
Mailing address
2267 TETON PLZ, IDAHO FALLS, ID 83404-6486
(208) 522-0140
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2371786
ID
101YA0400X
Addiction (Substance Use Disorder) Counselor
13047
ID
101YA0400X
Addiction (Substance Use Disorder) Counselor
25062051
SD
101YA0400X
Addiction (Substance Use Disorder) Counselor
8639
SD
Other
Enumeration date
03/26/2024
Last updated
10/29/2025
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