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NPI Code Detail

MEDICARE: ERICA S MILES

MEDICARE:   ERICA S MILES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor60281155WA

General Provider Information

NPI Number : 1578838934
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA S MILES
Provider Business Mailing Address
First Line : 3213 W WHEELER ST # 87
Second Line :
City : SEATTLE
State : WA
Zip : 98199-3245
Country : US
Telephone Number : 206-590-1007
Fax Number :
Provider Business Practice Location Address
First Line : 3213 W WHEELER ST # 87
Second Line :
City : SEATTLE
State : WA
Zip : 98199-3245
Country : US
Telephone Number : 206-590-1007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2012
Last Update Date : 02/28/2022

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Directions to “ ERICA S MILES ” Practice Location

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