Individual
MS. MIRANDA BLAIZE BATTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAC, CTP
Contact information
Practice address
12211 W BELL RD STE 205, SURPRISE, AZ 85378-9522
(623) 977-0677
Mailing address
12211 W BELL RD STE 205, SURPRISE, AZ 85378-9522
(623) 977-0677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-22197
AZ
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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