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Individual

DANIEL MIRANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDPT

Contact information

Practice address
326 N MILLER ST, WENATCHEE, WA 98801-1906
(509) 667-0679
Mailing address
326 N MILLER ST, WENATCHEE, WA 98801-1906
(509) 667-0679

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60424350
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11266911
WA
Enumeration date
05/20/2014
Last updated
05/20/2014
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