Individual
MIRINDA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
716 LEE ST E STE 201, CHARLESTON, WV 25301-1707
(304) 784-6194
Mailing address
PO BOX 655, DELBARTON, WV 25670-0655
(304) 475-4561
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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