Individual
CHAZIA WALL-MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
14138 HWY 195, KILLEEN, TX 76542-4850
(803) 629-6680
Mailing address
51542 COUSHATTA ST APT 2, FORT HOOD, TX 76544-2187
(803) 629-6680
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
79054
TX
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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