Individual provider · Type 1 NPI

Mary Jane Miles, CDSII

Addiction (Substance Use Disorder) Counselor · Lapwai, ID

NPI number 1083923247 Active

Practice location

111 Bever Grade
Lapwai, ID 83540

Fax (208) 843-7394

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1083923247

Mary Jane Miles, CDSII's National Provider Identifier is 1083923247, issued on Oct 5, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lapwai, ID. The record was last updated on Oct 5, 2010.