Individual
JESSICA LEANN MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M ED. LCPC
Contact information
Practice address
23403 E MISSION AVE STE 200L, LIBERTY LAKE, WA 99019-7575
(208) 298-5466
Mailing address
3317 N KNOB CREEK CT, POST FALLS, ID 83854-0143
(208) 661-1577
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-7241
ID
Other
Enumeration date
01/03/2021
Last updated
02/05/2024
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