Individual
GREGORIA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
508 WILLOW BREEZE CT, ZEBULON, NC 27597-9703
(919) 633-8489
Mailing address
508 WILLOW BREEZE CT, ZEBULON, NC 27597-9703
(919) 307-9124
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A13629
NC
101YM0800X
Mental Health Counselor
A13629
NC
Other
Enumeration date
12/19/2017
Last updated
08/26/2020
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