Individual
MRS. CASSANDRA MCKINNON MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMFT, LMFT, LCAC
Contact information
Practice address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2398
Mailing address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2398
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
722
KS
106H00000X
Marriage & Family Therapist
2012040800
MO
106H00000X
Marriage & Family Therapist
Primary
2751
KS
106H00000X
Marriage & Family Therapist
MFC 48918
CA
Other
Enumeration date
02/20/2007
Last updated
01/12/2023
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