Tatum Marie Miller LCPC

NPI 1275866246 - Counselor - 101YM0800X

NPI Details
NPI 1275866246
Gender Female
Enumeration Date 09/09/2009
Last Updated 09/26/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
120 E LAKE ST STE 201
SANDPOINT ID, 83864-1366, US
Phone (208) 304-4123
Fax (208) 597-7077
Business Location
120 E LAKE ST STE 201
SANDPOINT ID, 83864-1366, US
Phone (208) 304-4123
Fax (208) 597-7077
Toxanomy
Taxonomy Code 101YM0800X
License State Idaho
License Number LCPC-3942
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According to our database, Ms. Tatum Marie Miller LCPC NPI is 1275866246, taxonomy code is 101YM0800X and license number is LCPC-3942, license state is located at Idaho. Tatum Marie Miller LCPC physically located at 120 E Lake St Ste 201, Sandpoint ID, 83864-1366. NPI Number Tatum Marie Miller LCPC has the Individual type.

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1275866246 NPI number is provided on an as is basis without warranty of any kind. 1275866246 is maintained by the National Plan & Provider Enumeration System. The contents of Tatum Marie Miller LCPC are for informational purposes only.