Provider Demographics
NPI:1194099200
Name:MILLER, CATHERINE JOAN (MA, LMHC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:JOAN
Last Name:MILLER
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8109 E BRATT RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:WA
Mailing Address - Zip Code:99012-9654
Mailing Address - Country:US
Mailing Address - Phone:360-393-6058
Mailing Address - Fax:
Practice Address - Street 1:4511 S GLENROSE RD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-1348
Practice Address - Country:US
Practice Address - Phone:509-448-1202
Practice Address - Fax:509-448-1413
Is Sole Proprietor?:No
Enumeration Date:2012-03-07
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1000001OtherWA STATE LICENSE