Search › Idaho › 106H00000X
Shannon Miles, M.A., LMFT
NPI 1215112453 · on the registry since 2008 · sole proprietor
Practice
- Address
- 325 E Shore Dr
Suite 120
Eagle, ID 83616 - Phone
- (208) 761-7677
- Organisation at this address
- Cwcd, P.C.
Eagle River DentistryInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 106H00000X
- Licence states on file
- CA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho