Individual
MICHELLE MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC NCC MS
Contact information
Practice address
30150 SW PARKWAY AVE STE 300, WILSONVILLE, OR 97070
(503) 970-9042
(503) 217-0449
Mailing address
30150 SW PARKWAY AVE STE 700, WILSONVILLE, OR 97070-6837
(503) 970-9042
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C4834
OR
101YP2500X
Professional Counselor
Primary
C4834
OR
Other
Enumeration date
05/19/2015
Last updated
07/26/2018
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