Individual provider · Type 1 NPI

Wilfred Miranda, CCAPP

Addiction (Substance Use Disorder) Counselor · San Francisco, CA

NPI number 1124305289 Active

Practice location

1326 4th Ave
San Francisco, CA 94122-2616

Fax (415) 665-4782

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAII054490418 (CA)

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

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About NPI 1124305289

Wilfred Miranda, CCAPP's National Provider Identifier is 1124305289, issued on Nov 3, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Francisco, CA. The record was last updated on Feb 12, 2020.