Individual
LINDSEY MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
605 WASHINGTON AVE, NORTH HAVEN, CT 06473-1123
(203) 228-2606
Mailing address
605 WASHINGTON AVE, NORTH HAVEN, CT 06473-1123
(203) 228-2606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1412
CT
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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