Individual provider · Type 1 NPI

Jenny Yvonne Miranda

Mental Health Counselor · Pacoima, CA

NPI number 1265632723 Active

Practice location

12450 Van Nuys Blvd
Pacoima, CA 91331-1391

Fax (818) 896-5069

Mailing address

403 Shasta Pl
Palmdale, CA 93550-6723

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265632723

Jenny Yvonne Miranda's National Provider Identifier is 1265632723, issued on Jul 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pacoima, CA. The record was last updated on Jul 23, 2007.