Individual
MIRIAM A COLLADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LMFT
Contact information
Practice address
2525 CAMINO DEL RIO S STE 205, SAN DIEGO, CA 92108-3719
(619) 764-3764
Mailing address
8885 RIO SAN DIEGO DR STE 365, SAN DIEGO, CA 92108-1627
(619) 764-3764
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10633
CA
101YP2500X
Professional Counselor
C9769
OR
106H00000X
Marriage & Family Therapist
130358
CA
Other
Enumeration date
09/24/2019
Last updated
04/23/2025
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