Individual
KEANNA MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 VEGAS DR APT 2107, LAS VEGAS, NV 89108-7716
(702) 824-2057
Mailing address
6500 VEGAS DR APT 2107, LAS VEGAS, NV 89108-7716
(702) 824-2057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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