Mistala Miller, LMSW

NPI 1598213183 · on the registry since 2016

Practice

Address: 120 S 13th St
St Maries, ID 83861
Phone: (208) 245-4363
Fax: (208) 245-4349
Organisation at this address: Dirne Health Centers Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 104100000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho