Dominique Mira
NPI #1013791425 in Long Beach, California
Provider Information
- NPI Number
- 1013791425
- Entity Type
- Individual
- Name
- Dominique Mira
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Aug 24, 2023
- Last Updated
- Nov 13, 2023
Practice Location
- Address
- 5190 ATLANTIC AVE
- City
- Long Beach
- State
- California
- ZIP Code
- 90805-6510
- Phone
- (562) 428-4111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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