Individual provider · Type 1 NPI

Edmund M. Miranda, MA, LAC, LPC

Professional Counselor · Colorado Springs, CO

NPI number 1437413002 Active

Practice location

5350 Tomah Dr Ste 3600
Colorado Springs, CO 80918-6991

Call (970) 310-3406 Map

Mailing address

10755 Elizabeth Way
Colorado Springs, CO 80908-1532

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XACD.0000479 (CO)
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500XLPC.0012699 (CO)

Professional Counselor: Definition to come...

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About NPI 1437413002

Edmund M. Miranda, MA, LAC, LPC's National Provider Identifier is 1437413002, issued on Jun 28, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Colorado Springs, CO. The record was last updated on Sep 23, 2022.