Individual
ELIZABETH MARY MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
317 W 6TH ST STE 208, MOSCOW, ID 83843-2387
(208) 882-3504
(877) 935-2107
Mailing address
317 W 6TH ST STE 208, MOSCOW, ID 83843-2387
(208) 882-3504
(877) 935-2107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC-3901
ID
101YM0800X
Mental Health Counselor
LPC-3901
ID
101YP2500X
Professional Counselor
Primary
LPC-3901
ID
Other
Enumeration date
02/19/2008
Last updated
12/02/2023
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