Individual
DIANA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13260 N 94TH DR STE 100, PEORIA, AZ 85381-4242
(623) 487-7763
Mailing address
13260 N 94TH DR STE 100, PEORIA, AZ 85381-4242
(623) 487-7763
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/14/2021
Last updated
03/06/2023
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