Individual provider · Type 1 NPI

Cassidy Leigh Miles

Addiction (Substance Use Disorder) Counselor · Mammoth Lakes, CA

NPI number 1104630771 Active

Practice location

1290 Tavern Rd
Mammoth Lakes, CA 93546-6601

Call (760) 924-1740 Map

Mailing address

PO Box 2619
Mammoth Lakes, CA 93546-2619

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 1104630771

Cassidy Leigh Miles's National Provider Identifier is 1104630771, issued on Feb 4, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mammoth Lakes, CA. The record was last updated on Jun 12, 2026.