MRS. Miranda Jaksha, SUDP-T
NPI #1174355499 in Longview, Washington
Provider Information
- NPI Number
- 1174355499
- Entity Type
- Individual
- Name
- MRS. Miranda Jaksha, SUDP-T
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDP-T
- Enumeration Date
- Aug 15, 2024
- Last Updated
- Aug 15, 2024
Practice Location
- Address
- 900 FIR ST
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2544
- Phone
- (360) 353-9422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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