Individual
JEANNETTE MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSSP-CS
Contact information
Practice address
1006 E END BLVD N STE C, MARSHALL, TX 75670-2128
(903) 471-5132
Mailing address
1006 E END BLVD N STE C, MARSHALL, TX 75670-2128
(903) 471-5132
(903) 471-5133
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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