Individual provider · Type 1 NPI

Shannon Marie Miles, M.A., LMFT

Marriage & Family Therapist · Eagle, ID

NPI number 1215112453 Active

Practice location

325 E Shore Dr, Suite 120
Eagle, ID 83616-6583

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XMFC38858 (CA)
Marriage & Family Therapist Primary 106H00000XLMFT4551 (ID)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1215112453

Shannon Marie Miles, M.A., LMFT's National Provider Identifier is 1215112453, issued on Jan 7, 2008. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Eagle, ID. The record was last updated on Feb 29, 2024.