Individual
DIANE MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5425A BURNET RD, AUSTIN, TX 78756-1627
(512) 451-7337
(512) 451-8729
Mailing address
5659 WAGON TRAIN RD, AUSTIN, TX 78749-2117
(512) 663-7768
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20277
TX
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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