Individual
LAURA ATACK MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT #48800
Contact information
Practice address
331 SOQUEL AVE, STE 209, SANTA CRUZ, CA 95062-2323
(831) 234-5238
Mailing address
331 SOQUEL AVE, STE 209, SANTA CRUZ, CA 95062-2323
(831) 234-5238
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MFT #48800
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48800
MFT
CA
Enumeration date
06/05/2009
Last updated
08/23/2010
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