Individual
MELISSA MONIQUE MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 E CANAL DR, TURLOCK, CA 95380-3936
(209) 669-2583
Mailing address
420 E CANAL DR, TURLOCK, CA 95380-3936
(209) 669-2583
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
111151
CA
Other
Enumeration date
03/13/2018
Last updated
11/14/2023
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