Individual
MIRANDA HALBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
52 PEARL ST APT REAR, KEENE, NH 03431-3574
(858) 254-5794
Mailing address
52 PEARL ST APT REAR, KEENE, NH 03431-3574
(858) 254-5794
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/23/2015
Last updated
03/09/2022
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