Individual
ANNELISE NYSTROM MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3468 MT DIABLO BLVD STE B201, LAFAYETTE, CA 94549-3959
(925) 284-2298
Mailing address
3468 MT DIABLO BLVD STE B201, LAFAYETTE, CA 94549-3959
(925) 255-5350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
01/29/2024
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