Individual
ANGELA TAVA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
JD, MD, LPC
Contact information
Practice address
7254 BLANCO RD STE 206, SAN ANTONIO, TX 78216-4930
(512) 256-3799
Mailing address
9818 LANTANA DR, SAN ANTONIO, TX 78217-4521
(210) 259-3995
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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