Individual
MS. SUSAN ELIZABETH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., M.A.
Contact information
Practice address
112 S 6TH ST, UNIT B, LYNDEN, WA 98264-1993
(369) 354-1191
(360) 354-1191
Mailing address
2419 E BADGER RD, EVERSON, WA 98247-9329
(360) 966-7059
(360) 966-2239
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00001772
WA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN0018429
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UBI 601 786 753
WA BUSINESS LICENSE NUMBE
WA
Enumeration date
01/24/2007
Last updated
05/09/2017
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