Individual
AISHA MIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 W PEARL ST, ANAHEIM, CA 92801-5941
(714) 780-1174
Mailing address
1320 W PEARL ST, ANAHEIM, CA 92801-5941
(714) 780-1174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1479880822
CA
101YM0800X
Mental Health Counselor
Primary
APCC19151
CA
390200000X
Student in an Organized Health Care Education/Training Program
R1479880822
CA
Other
Enumeration date
11/21/2022
Last updated
04/29/2026
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