Laura Dru Miles, LICENSED MARRIAGE AN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC 34966 Issued in CA

Practice address

1350 East San Bernardino Road
Building E Apt. 223
West Covina, CA 91791

Phone

(626) 727-6058

NPI assigned

Aug 7, 2007

Last updated

Nov 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Laura Miles Vahle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1700077526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 EAST SAN BERNARDINO ROAD",
            "address_2": "BUILDING E APT. 223",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91791",
            "telephone_number": "626-727-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 EAST SAN BERNARDINO ROAD",
            "address_2": "BUILDING E APT. 223",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91791",
            "telephone_number": "626-727-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "LAURA",
        "middle_name": "DRU",
        "name_prefix": "Miss",
        "credential": "LICENSED MARRIAGE AN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC 34966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "VAHLE",
            "middle_name": "MILES",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in West Covina, CA
• Providers in West Covina, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.