Individual
ANTONIA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5540 N ACADEMY BLVD STE 210, COLORADO SPRINGS, CO 80918-3696
(719) 270-1012
Mailing address
890 ROBBIE VW APT 218, COLORADO SPRINGS, CO 80920-3263
(716) 983-4158
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC.0019164
CO
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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