Most Relevant Information
Provider Data
| NPI Number: | 1003250960 |
| Provider Name: | KIMBERLY ANN MILES MSW LICSW CDP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CP60091478 |
Most Important Dates
| Enumeration Date: | 04/23/2013 |
| Last Updated: | 03/01/2021 |
Provider Practice Location
1101 MADISON ST STE 301
SEATTLE
WA
981043599
Practice Location Phone/Fax
| Phone: | 2066214618 |
| Fax: |
Provider Mailing Location
1145 BROADWAY
SEATTLE
WA
981224201
Provider Mailing Phone/Fax
| Phone: | 2063291760 |
| Fax: |