Individual
MR. DAN MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCADC, CCS
Contact information
Practice address
1322 ROUTE 72 W STE 202A, STAFFORD TOWNSHIP, NJ 08050-2486
(561) 676-1634
Mailing address
1322 ROUTE 72 W STE 202A, MANAHAWKIN, NJ 08050-2486
(561) 676-1634
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00315000
NJ
Other
Enumeration date
10/19/2021
Last updated
10/02/2025
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