Individual provider · Type 1 NPI

Adelis Ivette Santos Miranda, MHC-LP

Mental Health Counselor · Bronx, NY

NPI number 1104695865 Active

Practice location

579 Courtlandt Ave
Bronx, NY 10451-5013

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104695865

Adelis Ivette Santos Miranda, MHC-LP's National Provider Identifier is 1104695865, issued on Dec 22, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bronx, NY. The record was last updated on Dec 22, 2023.