Individual
ANDREW STEVEN MIRELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(408) 314-4785
Mailing address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(408) 876-4155
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
138793
CA
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2008
Last updated
10/10/2024
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