Individual
IVONNE MARIE MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, EDM, LPC
Contact information
Practice address
1020 7TH ST NE, WASHINGTON, DC 20002-3652
(646) 528-3237
Mailing address
1020 7TH ST NE, WASHINGTON, DC 20002-3652
(646) 528-3237
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC14250
DC
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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