Provider Demographics
NPI:1639286586
Name:MILLER, KORI LOREEN PROPST (LPC, LPCC, LMHC, PHD)
Entity Type:Individual
Prefix:MS
First Name:KORI
Middle Name:LOREEN PROPST
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPC, LPCC, LMHC, PHD
Other - Prefix:MS
Other - First Name:KORI
Other - Middle Name:LOREEN
Other - Last Name:PROPST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC
Mailing Address - Street 1:401 COWBOY CT.
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MT
Mailing Address - Zip Code:59833
Mailing Address - Country:US
Mailing Address - Phone:812-431-2772
Mailing Address - Fax:970-494-4301
Practice Address - Street 1:50 W. BROADWAY, SUITE 300
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84101-2612
Practice Address - Country:US
Practice Address - Phone:801-319-6471
Practice Address - Fax:970-494-4301
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IN39002049A101YP2500X
CA8801101YP2500X
MT50114101YP2500X
CO0004232101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health