Organization
MILES COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M MILES LCSW (OWNER)
(208) 339-6565
Entity
Organization
Contact information
Practice address
518 WILLARD AVE, POCATELLO, ID 83201-4537
(208) 339-6565
Mailing address
518 WILLARD AVE, POCATELLO, ID 83201-4537
(208) 339-6565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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