Laura Atack Miller, MFT #48800
Counselor, Professional in Santa Cruz, CA. Individual provider (NPI-1).
NPI number1760618664
StatusActive
Last updated in NPPESAug 23, 2010
Details
- NPI
- 1760618664
- Entity type
- Individual (NPI-1)
- Name
- Laura Atack Miller
- Credential
- MFT #48800
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2009
- Last updated
- Aug 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | MFT #48800 | CA | Yes |
Other names
- Laura Elizabeth Atack (Former Name)
Practice location
331 Soquel AveSte 209
Santa Cruz, CA 95062-2323
Phone 831-234-5238
Mailing address
331 Soquel AveSte 209
Santa Cruz, CA 95062-2323
Phone 831-234-5238
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