NPI 1215112453

Shannon Marie Miles, MALMFT

Practitioner Marriage & Family Therapist Eagle, ID

Practice location

Address: 325 E Shore Dr Suite 120, Eagle, ID 83616-6583
Phone: (208) 761-7677

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence LMFT4551 (ID)

Other Marriage & Family Therapist providers in Idaho →

Marriage & Family Therapist

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MFC38858 (CA)

Registry record

NPI: 1215112453
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jan 2008
Record last updated: 29 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.