Individual provider · Type 1 NPI
Gabrielle Miranda, RADT
Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA
NPI number
1205755709
Active
Practice location
2901 Cleveland Ave Ste 202
Santa Rosa, CA 95403-2788
Mailing address
2055 Range Ave Apt 334
Santa Rosa, CA 95401-3520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | RT1438160426 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1205755709
Gabrielle Miranda, RADT's National Provider Identifier is 1205755709, issued on Jul 10, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 10, 2026.