MEDICARE: KELLEE MILES-MARANZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1316157555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLEE MILES-MARANZ

Provider Business Mailing Address
First Line	:	1390 BROADWAY # B297
Second Line	:
City	:	PLACERVILLE
State	:	CA
Zip	:	95667-5900
Country	:	US
Telephone Number	:	925-519-3375
Fax Number	:	925-666-4741

Provider Business Practice Location Address
First Line	:	1390 BROADWAY # B297
Second Line	:
City	:	PLACERVILLE
State	:	CA
Zip	:	95667-5900
Country	:	US
Telephone Number	:	925-519-3375
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	03/17/2026

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Directions to “ KELLEE MILES-MARANZ ” Practice Location

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