Individual
MIRA NAANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC AND LADC 1
Contact information
Practice address
93 LAKE AVE, MELROSE, MA 02176-2701
(781) 662-6224
(781) 662-6224
Mailing address
93 LAKE AVE, MELROSE, MA 02176-2701
(781) 662-6224
(781) 662-6224
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LADC 1 1388
MA
101YM0800X
Mental Health Counselor
LMHC 1191
MA
101YP2500X
Professional Counselor
Primary
LMHC 1191
MA
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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