Individual
MIRA SRIDHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6147 SUTTER AVE, CARMICHAEL, CA 95608-2738
(916) 971-7640
Mailing address
6147 SUTTER AVE, CARMICHAEL, CA 95608-2738
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
09/19/2023
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