Individual
CHELSEA RAE MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP-R
Contact information
Practice address
1214 PROGRESSIVE DR, CHESAPEAKE, VA 23320-2848
(347) 302-2630
Mailing address
1136 FARRCROFT WAY, VIRGINIA BEACH, VA 23455-6874
(347) 302-2630
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0704013130
VA
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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