Individual provider · Type 1 NPI

Miranda Jean Deetz

Addiction (Substance Use Disorder) Counselor · Schenectady, NY

NPI number 1407403108 Active

Practice location

600 Franklin St Ste 204
Schenectady, NY 12305-2100

Call (518) 372-7031 Map

Mailing address

19 Pearl St
New Hartford, NY 13413-2338

Other practice locations

  • 2435 6th Ave, Troy, NY 12180-2227 · (518) 274-5143

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1407403108

Miranda Jean Deetz's National Provider Identifier is 1407403108, issued on Aug 19, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Schenectady, NY. The record was last updated on May 13, 2022.