Individual provider · Type 1 NPI

Mirian Guadalupe Ticoulet

Counselor · San Leandro, CA

NPI number 1548800477 Active

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Call (510) 317-1444 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1548800477

Mirian Guadalupe Ticoulet's National Provider Identifier is 1548800477, issued on Jan 8, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Leandro, CA. The record was last updated on Jan 8, 2020.