Individual
COLETTE ANN MIESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
901 E HACKBERRY AVE, MCALLEN, TX 78501-6502
(956) 618-7100
Mailing address
901 E HACKBERRY AVE, MCALLEN, TX 78501-6502
(956) 618-7100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
079353
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2007
Last updated
08/28/2015
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