Individual provider · Type 1 NPI
Dominique Mira
Addiction (Substance Use Disorder) Counselor · Long Beach, CA
NPI number
1013791425
Active
Practice location
5190 Atlantic Ave
Long Beach, CA 90805-6510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1013791425
Dominique Mira's National Provider Identifier is 1013791425, issued on Aug 24, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on Nov 13, 2023.