Miller, Rebecca Jo
Miller, Rebecca Jo is an sole proprietor health care provider with primary practice located at 1032 S Bridgeway Pl , Eagle ID 83616-6099. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Miller, Rebecca Jo can be contacted via phone (208) 246-0123.Contact Information
Primary practice address
1032 S Bridgeway Pl
Eagle ID 83616-6099
Phone: (208) 246-0123
Fax: (208) 246-0125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC-7210 | Idaho |
Profile Details
| NPI number | 1730647116 |
|---|---|
| LBN Legal business name | Miller, Rebecca Jo |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2019 |
| Last updated | Mar 5th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730647116 | NPPES |
| Idaho | MEDICAID | LPC-7210 |
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