Individual provider · Type 1 NPI

Miranda Chicklis, LMHC

Mental Health Counselor · Santa Fe, NM

NPI number 1255852596 Active

Practice location

4001 Office Court Dr Ste 102
Santa Fe, NM 87507-4903

Fax (505) 983-8225

Mailing address

125 Ridgecrest Dr
Santa Fe, NM 87505-6334

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0179741 (NM)

Mental Health Counselor: Definition to come...

23 other providers at this address

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About NPI 1255852596

Miranda Chicklis, LMHC's National Provider Identifier is 1255852596, issued on Jun 27, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Fe, NM. The record was last updated on Jun 27, 2017.