Provider Demographics
NPI:1669480737
Name:MILLER-BROCK, TONNA VOSS (LPC)
Entity Type:Individual
Prefix:MS
First Name:TONNA
Middle Name:VOSS
Last Name:MILLER-BROCK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
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Mailing Address - Street 1:PO BOX 684
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-8141
Mailing Address - Country:US
Mailing Address - Phone:469-222-8818
Mailing Address - Fax:972-562-8868
Practice Address - Street 1:210 S RUSK ST
Practice Address - Street 2:NUMBER 3
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-7227
Practice Address - Country:US
Practice Address - Phone:469-222-8818
Practice Address - Fax:972-562-8868
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12248101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional