Individual provider · Type 1 NPI

Maryann Miranda, LCADC

Addiction (Substance Use Disorder) Counselor · Westwood, NJ

NPI number 1245509686 Active

Practice location

192 3rd Ave
Westwood, NJ 07675-2154

Mailing address

714 A Ve E
Bayonne, NJ 07002

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X37LC00165400 (NJ)

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

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About NPI 1245509686

Maryann Miranda, LCADC's National Provider Identifier is 1245509686, issued on Dec 14, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Westwood, NJ. The record was last updated on Dec 14, 2011.