Individual provider · Type 1 NPI
Miranda Dawn Antonio, A.A.
Counselor · Tularosa, NM
NPI number
1104008432
Active
Practice location
253 Pecos Rd
Tularosa, NM 88352-9666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
About NPI 1104008432
Miranda Dawn Antonio, A.A.'s National Provider Identifier is 1104008432, issued on Nov 28, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tularosa, NM. The record was last updated on Nov 28, 2007.