Individual provider · Type 1 NPI
Mira Dhyana Wonderwheel
Mental Health Counselor · Monte Rio, CA
NPI number
1053758474
Active
Practice location
19375 Hwy 116
Monte Rio, CA 95462
Mailing address
PO Box 519
Monte Rio, CA 95462-0519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1053758474
Mira Dhyana Wonderwheel's National Provider Identifier is 1053758474, issued on May 24, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Monte Rio, CA. The record was last updated on Jun 26, 2013.