| Miranda Counseling & Consulting Licensed Clinical Social Worker, Inc. | |
|
2204 S El Camino Real Ste 305 Oceanside CA 92054-6376 | |
| (760) 509-2360 | |
| Not Available |
| Full Name | Miranda Counseling & Consulting Licensed Clinical Social Worker, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2204 S El Camino Real Ste 305, Oceanside, California |
| Authorized Official Name and Position | Mayola Miranda (LICENSED CLINICAL SOCIAL WORKER/CEO) |
| Authorized Official Contact | 7605092360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Counseling & Consulting Licensed Clinical Social Worker, Inc. Po Box 8685 Anaheim CA 92812-0685 Ph: (760) 509-2360 | Miranda Counseling & Consulting Licensed Clinical Social Worker, Inc. 2204 S El Camino Real Ste 305 Oceanside CA 92054-6376 Ph: (760) 509-2360 |
| NPI Number | 1184320095 |
|---|---|
| Provider Enumeration Date | 02/02/2023 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184320095 | NPI | - | NPPES |
| CB344989 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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