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Individual
DR. KRYSTALLYNNE SHANIELLE MIKLE
Active
Individual
DR. KRYSTALLYNNE SHANIELLE MIKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW, MSW, BSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
50664
TX
101YM0800X
Mental Health Counselor
50664
TX
101YP2500X
Professional Counselor
50664
TX
104100000X
Social Worker
50664
TX
1041C0700X
Clinical Social Worker
Primary
50664
TX
251B00000X
Case Management Agency
—
—
Other
Enumeration date
02/14/2022
Last updated
09/26/2023
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