Individual provider · Type 1 NPI
Miraya Surya-Keller
Mental Health Counselor · Valley Glen, CA
NPI number
1306663323
Active
Practice location
5927 Cantaloupe Ave
Valley Glen, CA 91401-4313
Mailing address
19161 Erwin St
Tarzana, CA 91335-6707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 136145 (CA) |
Mental Health Counselor: Definition to come...
3 other providers at this address
Other mental health counselor providers in Valley Glen
About NPI 1306663323
Miraya Surya-Keller's National Provider Identifier is 1306663323, issued on Sep 21, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Valley Glen, CA. The record was last updated on Sep 21, 2024.