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NPI Code Detail

MEDICARE: PEGGY MILLS LH61615427, 61632795

MEDICARE: PEGGY MILLS LH61615427, 61632795
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 CounselorMHC.LH.61615427WA
2101YA0400XAddiction (Substance Use Disorder) CounselorCDP.CP.61632795WA

General Provider Information

NPI Number : 1598408494
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEGGY MILLS LH61615427, 61632795
Provider Business Mailing Address
First Line : 315 N 2ND ST
Second Line :
City : YAKIMA
State : WA
Zip : 98901-2334
Country : US
Telephone Number : 509-469-9366
Fax Number :
Provider Business Practice Location Address
First Line : 315 N 2ND ST
Second Line :
City : YAKIMA
State : WA
Zip : 98901-2334
Country : US
Telephone Number : 509-469-9366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2022
Last Update Date : 06/08/2026

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