Miller, Connie Gene

Miller, Connie Gene is an individual health care provider with primary practice located at 1115 B St , Plummer ID 83851. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Miller, Connie Gene can be contacted via phone (208) 686-1449.

Contact Information

Primary practice address
1115 B St Plummer ID 83851
Phone: (208) 686-1449
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CADC 1088005 Idaho
Behavioral Health & Social Service Providers / Social Worker 104100000X LMSW 25983 Idaho

Profile Details

NPI number 1770564635
LBN Legal business name Miller, Connie Gene
Credentials LMSW CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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