Provider Demographics
NPI:1881962264
Name:MILLWARD, CATHERINE LOUISE (LPC; LMFT; NBCC)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:LOUISE
Last Name:MILLWARD
Suffix:
Gender:F
Credentials:LPC; LMFT; NBCC
Other - Prefix:MRS
Other - First Name:CATHERINE
Other - Middle Name:LOUISE
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC; LMFT; NBCC
Mailing Address - Street 1:13622 W PALA MESA DR
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-2014
Mailing Address - Country:US
Mailing Address - Phone:208-223-8892
Mailing Address - Fax:208-322-2539
Practice Address - Street 1:13622 W PALA MESA DR
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-2014
Practice Address - Country:US
Practice Address - Phone:208-223-8892
Practice Address - Fax:208-322-2539
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-13
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMFT2694101YM0800X
IDLPC259101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health