Individual provider · Type 1 NPI

Connie Gene Miller, LMSW CADC

Addiction (Substance Use Disorder) Counselor · Plummer, ID

NPI number 1770564635 Active

Practice location

1115 B St
Plummer, ID 83851

Mailing address

3405 N Park Rd
Spokane Valley, WA 99212-1508

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCADC 1088005 (ID)
Social Worker 104100000XLMSW 25983 (ID)

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

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About NPI 1770564635

Connie Gene Miller, LMSW CADC's National Provider Identifier is 1770564635, issued on Nov 8, 2005. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Plummer, ID. The record was last updated on Sep 11, 2025.