Individual
MIRANDA NICOLE HASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22610 62ND AVE W, MOUNTLAKE TERRACE, WA 98043-2510
(360) 301-0490
Mailing address
22610 62ND AVE W, MOUNTLAKE TERRACE, WA 98043-2510
(360) 301-0490
(360) 373-4934
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
BA60766761
WA
Other
Enumeration date
08/04/2014
Last updated
09/30/2022
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