| Doctor Name: | CHERYL (CHERI) A MILLER |
| NPI Number: | 1043407570 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED. LCPC |
| License Number: | LCPC 4147 |
| Business Practice Address: | 215 W Yakima Suite 3 & 4 Jerome, ID - 833386157 |
| Business Phone Number: | 2084202806 |
| Business Fax Number: | |
| Mailing Address: | 745 N Lincoln St, DIETRICH |
| State: | ID |
| Postal Code: | 833245074 |
| Phone Number: | 2085442374 |
| Fax Number: | |
| NPI Enumeration Date: | 09/28/2007 |
| NPI Last Update Date: | 09/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LCPC 4147 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |