person
Dr. Larry Jack Miller, PHD
Mental Health Counselor in Austin, Texas
NPI 1699849372

Larry Jack Miller is a Mental Health Counselor based in Austin, TX and is specialized in Mental Health. Larry Jack Miller practices in Austin, TX and has the professional credentials of PHD. The NPI Number for Larry Jack Miller is 1699849372 and holds a License No. 2 1851 (Texas).

The current practice location address for Larry Jack Miller is 4131 Spicewood Springs Rd, Austin, TX and can be reached out via phone at 512-502-1882 and via fax at 502-346-4188.

Location: 4131 Spicewood Springs Rd, Austin, TX, 78759-8661
person
Provider Profile Details
NPI Number
1699849372
Provider Name
Larry Jack Miller
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
4131 Spicewood Springs Rd, Austin, TX, 78759-8661
Phone Number
512-502-1882
Fax Number
502-346-4188
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GK 72 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4131 Spicewood Springs Rd
City
State
Zip
78759-8661
Phone Number
512-502-1882
Fax Number
502-346-4188
person
Provider Business Mailing Address Details
Address
4131 Spicewood Springs Rd
City
State
Zip
78759-8661
Phone Number
512-502-1882
Fax Number
502-346-4188
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2 1851 (Texas)
Definition
Definition to come...
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