MS. Miranda L. Fallen-Bobo, LPC, NCC

NPI #1821498809 in College Park, Georgia

Provider Information

NPI Number: 1821498809
Entity Type: Individual
Name: MS. Miranda L. Fallen-Bobo, LPC, NCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPC, NCC
Enumeration Date: Aug 27, 2014
Last Updated: Mar 3, 2021

Practice Location

Address: 3729 MAIN ST
City: College Park
State: Georgia
ZIP Code: 30337-3544
Phone: (678) 559-4043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Pastoral — Pastoral	101YP1600X
Counselor - Professional — Professional	101YP2500X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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