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Individual
INNAEL TODD MIRANDA
Active
Individual
INNAEL TODD MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, LPC, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACC-7097
CO
101YM0800X
Mental Health Counselor
CTB-2023-0229
NM
101YM0800X
Mental Health Counselor
Primary
LPC.0020508
CO
Other
Enumeration date
06/16/2011
Last updated
04/08/2024
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