Individual
MS. MANDY LYNN MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC/CAS, QMHA-II, TH
Contact information
Practice address
3400 W 16TH ST STE P, GREELEY, CO 80634-6871
(970) 978-4386
(970) 888-3175
Mailing address
3400 W 16TH ST STE P, GREELEY, CO 80634-6871
(970) 978-4386
(970) 888-3175
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24-06-11159
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0021373
CO
101YM0800X
Mental Health Counselor
24-QMHA-II-000264
OR
171M00000X
Case Manager/Care Coordinator
316485
OK
175T00000X
Peer Specialist
24CRM3244
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
AZ
Other
Enumeration date
08/13/2019
Last updated
11/04/2025
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