Individual provider · Type 1 NPI

Jennifer Lynn Mira

Mental Health Counselor · Santa Maria, CA

NPI number 1124154786 Active

Practice location

625 S Mcclelland
Santa Maria, CA 93454

Call (805) 614-9535 Map

Fax (805) 614-9390

Mailing address

118 W Arrellaga Street
Santa Barbara, CA 93101

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124154786

Jennifer Lynn Mira's National Provider Identifier is 1124154786, issued on Feb 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Maria, CA. The record was last updated on Jul 8, 2007.