Individual
MIRANDA MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 E OSAGE RD STE 300, DERBY, KS 67037-2290
(316) 247-3161
Mailing address
1721 E OSAGE RD STE 100, DERBY, KS 67037-2198
(316) 247-3161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04061
KS
101YP2500X
Professional Counselor
Primary
04061
KS
Other
Enumeration date
06/23/2022
Last updated
04/28/2026
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