Individual
EMILY MIRANDA DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
215 DUPONT AVE, MADISON, TN 37115-3712
(662) 643-5687
Mailing address
215 DUPONT AVE, MADISON, TN 37115-3712
(662) 643-5687
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5178
TN
Other
Enumeration date
02/11/2022
Last updated
04/27/2022
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