Mailin Miranda

NPI #1104202746 in Moriarty, New Mexico

Provider Information

NPI Number: 1104202746
Entity Type: Individual
Name: Mailin Miranda
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 5, 2015
Last Updated: Aug 5, 2015

Practice Location

Address: 717 W ABRAHAMES RD STE D
City: Moriarty
State: New Mexico
ZIP Code: 87035-8197
Phone: (505) 384-0220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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