Individual
MIRANDA DIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 SAINT JOE CENTER RD, FORT WAYNE, IN 46825-5042
(260) 497-0329
Mailing address
2626 SAINT JOE CENTER RD, FORT WAYNE, IN 46825-5042
(260) 497-0329
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99130583A
IN
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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