MEDICARE: DR. CLAIRE MINER LPC

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	101YP2500X	Professional Counselor	13663	TX

General Provider Information

NPI Number	:	1730358474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAIRE MINER LPC

Provider Business Mailing Address
First Line	:	3625 MANCHACA RD
Second Line	:	SUITE #103
City	:	AUSTIN
State	:	TX
Zip	:	78704-6631
Country	:	US
Telephone Number	:	512-689-7105
Fax Number	:	512-527-3576

Provider Business Practice Location Address
First Line	:	3625 MANCHACA RD
Second Line	:	SUITE #103
City	:	AUSTIN
State	:	TX
Zip	:	78704-6631
Country	:	US
Telephone Number	:	512-689-7105
Fax Number	:	512-527-3576

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

Provider Enumeration Date	:	02/27/2008
Last Update Date	:	02/27/2008

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