# MS. MANDY LYNN MINER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1730735028
- **Gender:** F
- **Credential:** CAC/CAS, QMHA-II, TH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 24-06-11159 | OR | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | ACC.0021373 | CO | Yes |
| 101YM0800X | Mental Health Counselor | 24-QMHA-II-000264 | OR | — |
| 171M00000X | Case Manager/Care Coordinator | 316485 | OK | — |
| 175T00000X | Peer Specialist | 24CRM3244 | OR | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | AZ | — |

## Other

- **Enumeration date:** 08/13/2019
- **Last updated:** 11/04/2025
