Individual provider · Type 1 NPI

Shante Monique Miller, CO 61037377

Student in an Organized Health Care Education/Training Program · Everett, WA

NPI number 1639798192 Active

Practice location

2601 Summit Ave
Everett, WA 98201-3309

Call (425) 258-2407 Map

Fax (425) 339-2601

Mailing address

500 E Fremont St Apt B103
Monroe, WA 98272-2364

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XCO61037377 (WA)
Addiction (Substance Use Disorder) Counselor 101YA0400XCO61037377 (WA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639798192

Shante Monique Miller, CO 61037377's National Provider Identifier is 1639798192, issued on Apr 14, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Everett, WA. The record was last updated on Jun 21, 2021.