Individual
MIRANDA LEIGH BRULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
1014 W 36TH ST # 205, BALTIMORE, MD 21211-2415
(570) 604-2460
Mailing address
1014 W 36TH ST # 205, BALTIMORE, MD 21211-2415
(570) 604-2460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A01075
MD
Other
Enumeration date
09/20/2025
Last updated
09/20/2025
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