Individual
KATIE MICHELLE MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS, MS, PCMHT
Contact information
Practice address
11 WOODSTONE PLZ STE D, HATTIESBURG, MS 39402-8342
(769) 390-7234
Mailing address
860 E RIVER PL, JACKSON, MS 39202-3442
(769) 251-5550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
MS
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/05/2014
Last updated
03/09/2021
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