| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARISELA MIRANDA | 1407423726 | 2021-06-06 |
Marisela Miranda is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1407423726. Registration indicates Marisela Miranda is a provider of access to substance use disorder providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Marisela Miranda |
| Practice Office Address | 1461 HILGER ST SAN DIEGO, CA US |
| Practice Office Telephone | 6199028440 |
| Mailing Address | 1461 HILGER ST SAN DIEGO, CA 921142112 US |
| Business Telephone | 6199028440 |
| Code | Practice | License No State |
|---|---|---|
| 101YA0400X PRIMARY | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor |