Individual
ALEXIS JADE MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1704 CAPE HORN AVENUE, JULIAN, CA 92036
(619) 772-7743
Mailing address
1704 CAPE HORN AVENUE, JULIAN, CA 92036
(619) 772-7743
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
230195629
CA
Other
Enumeration date
12/12/2025
Last updated
12/15/2025
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