Individual
MRS. MIRANDA ANN BYRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LMFT, LPC, NCC
Contact information
Practice address
201 N BROAD ST STE 200, MANKATO, MN 56001-3569
(507) 225-1500
(507) 225-1501
Mailing address
201 N BROAD ST STE 200, MANKATO, MN 56001-3569
(507) 225-1500
(507) 225-1501
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
00800
MN
106H00000X
Marriage & Family Therapist
Primary
1808
MN
Other
Enumeration date
09/23/2009
Last updated
10/08/2021
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