Individual provider · Type 1 NPI

Raven Miranda

Addiction (Substance Use Disorder) Counselor · Fitchburg, MA

NPI number 1093287872 Active

Practice location

155 Airport Rd
Fitchburg, MA 01420-8142

Call (978) 343-6300 Map

Fax (978) 343-2803

Mailing address

277 Baldwinville Rd
Templeton, MA 01468-1443

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist 222Q00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1093287872

Raven Miranda's National Provider Identifier is 1093287872, issued on Dec 18, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fitchburg, MA. The record was last updated on Sep 30, 2026.