Individual provider · Type 1 NPI

Miranda Rose

Mental Health Counselor · Gary, IN

NPI number 1336554146 Active

Practice location

1100 W 6th Ave
Gary, IN 46402-1711

Call (219) 885-4264 Map

Fax (219) 886-1332

Mailing address

361 N Grand Blvd
Gary, IN 46403-1942

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1336554146

Miranda Rose's National Provider Identifier is 1336554146, issued on Jul 1, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gary, IN. The record was last updated on Jul 1, 2014.