Individual provider · Type 1 NPI

Miranda L. McQueen, RADT

Addiction (Substance Use Disorder) Counselor · Roseville, CA

NPI number 1265076616 Active

Practice location

730 Sunrise Avenue, Building 200, STE-201
Roseville, CA 95661

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR12303860516 (CA)

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

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About NPI 1265076616

Miranda L. McQueen, RADT's National Provider Identifier is 1265076616, issued on Oct 29, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseville, CA. The record was last updated on Oct 29, 2019.