Individual
MIRANDA WENHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA, M.ED.
Contact information
Practice address
178 MINE LAKE CT STE 200, RALEIGH, NC 27615-6417
(919) 213-0667
Mailing address
6700 MILES DR, RALEIGH, NC 27615-6412
(610) 209-8442
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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