Shante Monique Miller, CO61037377
Shante Monique Miller, CO61037377 is a Student in an Organized Health Care Education/Training Program in Everett, Washington. Licensed in Washington. Registered with an NPI since 2020.
- Licensed in
- WA
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
Everett, WAFax: (425) 339-2601
No coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence CO61037377 (WA) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence CO61037377 (WA) |
Record details
| NPI number | 1639798192 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CO61037377 |
| Sole proprietor | No |
| NPI enumerated | April 14, 2020 |
| Last updated in NPPES | June 21, 2021 |
| Certification date | June 21, 2021 |
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