Individual
MIRANDA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
1021 ALABAMA AVE S, BREMEN, GA 30110-2501
(678) 446-0883
(770) 537-7003
Mailing address
605 LEGION LAKE RD, VILLA RICA, GA 30180-5070
(678) 446-0883
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC009917
GA
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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