Individual
MIA SEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
2525 WALLINGWOOD DR, AUSTIN, TX 78746-6900
(858) 864-6574
Mailing address
2525 WALLINGWOOD DR, AUSTIN, TX 78746-6900
(858) 864-6574
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
204457
TX
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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