Individual provider · Type 1 NPI

Miranda Gardner

Mental Health Counselor · Bronx, NY

NPI number 1376329649 Active

Practice location

3249 Kingsbridge Ave
Bronx, NY 10463-5514

Mailing address

470 Ocean Ave Apt RA8
Brooklyn, NY 11226-2840

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1376329649

Miranda Gardner's National Provider Identifier is 1376329649, issued on Sep 4, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bronx, NY. The record was last updated on Sep 4, 2023.