Individual
SHELLEY A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
547 DAYTON ST, EDMONDS, WA 98020-3431
(425) 771-5166
(425) 670-2807
Mailing address
19711 89TH PL NE, BOTHELL, WA 98011-5911
(425) 771-5166
(425) 670-2807
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00005463
WA
106H00000X
Marriage & Family Therapist
Primary
LF00001300
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2758MI
REGENCE
WA
Enumeration date
01/30/2007
Last updated
09/11/2025
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