Individual provider · Type 1 NPI
John A. Miranda, LPC, LCDC
Addiction (Substance Use Disorder) Psychologist · San Antonio, TX
Practice location
110 E Houston St
San Antonio, TX 78205-2990
Fax (210) 451-0492
Mailing address
5300 Encanta St Apt 402
San Antonio, TX 78233-6459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counseling Psychologist | 103TC1900X | 115868 (TX) |
| Addiction (Substance Use Disorder) Psychologist Primary | 103TA0400X | 115868 (TX) |
Addiction (Substance Use Disorder) Psychologist: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behav…
2 other providers at this address
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About NPI 1104479930
John A. Miranda, LPC, LCDC's National Provider Identifier is 1104479930, issued on Jul 21, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Psychologist (103TA0400X), and the practice location is in San Antonio, TX. The record was last updated on Apr 18, 2021.