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Individual

MIRA NAANES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC AND LADC 1

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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