Individual
ANTHONY A. MIRIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1014 MAIN STREET, VANCOUVER, WA 98661
(360) 695-1014
(360) 750-1374
Mailing address
1014 MAIN STREET, VANCOUVER, WA 98661
(360) 695-1014
(360) 750-1374
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60226214
WA
Other
Enumeration date
09/27/2011
Last updated
01/06/2012
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