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Annelise Nystrom Miller
Mental Health Counselor in Lafayette, California
NPI 1871116400

Annelise Nystrom Miller is a Mental Health Counselor based in Lafayette, CA and is specialized in Mental Health. Annelise Nystrom Miller practices in Lafayette, CA. The NPI Number for Annelise Nystrom Miller is 1871116400 and holds a License No. (California).

The current practice location address for Annelise Nystrom Miller is 3468 Mt Diablo Blvd Ste B201, Lafayette, CA and can be reached out via phone at 925-284-2298.

Location: 3468 Mt Diablo Blvd Ste B201, Lafayette, CA, 94549-3959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871116400
Provider Name
Annelise Nystrom Miller
Credential
Provider Entity Type
Individual
Gender
Female
Address
3468 Mt Diablo Blvd Ste B201, Lafayette, CA, 94549-3959
Phone Number
925-284-2298
Fax Number
Provider Enumeration Date
05/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3468 Mt Diablo Blvd Ste B201
City
Lafayette
State
California
Zip
94549-3959
Phone Number
925-284-2298
Fax Number
person
Provider Business Mailing Address Details
Address
3468 Mt Diablo Blvd Ste B201
City
Lafayette
State
California
Zip
94549-3959
Phone Number
925-284-2298
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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