Individual
MIRA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3906 N LAMAR BLVD STE 204D, AUSTIN, TX 78756-4009
(512) 525-9420
Mailing address
4300 BERKMAN DR APT E, AUSTIN, TX 78723-4565
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202272
TX
Other
Enumeration date
12/30/2018
Last updated
12/30/2018
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