Individual
DR. ROBERTA ANGELA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, CPC, NCC, ACS
Contact information
Practice address
2000 S EASTERN AVE, LAS VEGAS, NV 89104-4100
(702) 204-3609
Mailing address
2000 S EASTERN AVE, LAS VEGAS, NV 89104-4100
(702) 204-3609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LADC #1160
NV
101YP2500X
Professional Counselor
Primary
CPC#0049
NV
101YP2500X
Professional Counselor
NCC#204921
NV
Other
Enumeration date
11/24/2012
Last updated
02/07/2023
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