Individual
MS. KAREN MIAZAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D, LPC
Contact information
Practice address
2141 HAMILTON WAY, STE. 100, SAN ANGELO, TX 76904
(325) 245-4000
Mailing address
2141 HAMILTON WAY, STE. 100, SAN ANGELO, TX 76904
(325) 245-4000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7583
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27064702
—
TX
Enumeration date
04/06/2006
Last updated
10/16/2007
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