Individual provider · Type 1 NPI

Miranda Jane, LPC

Professional Counselor · Austin, TX

NPI number 1639547144 Active

Practice location

2111 Dickson Dr, Suite 22
Austin, TX 78704-4796

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X71140 (TX)
Professional Counselor Primary 101YP2500X71140 (TX)

Professional Counselor: Definition to come...

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About NPI 1639547144

Miranda Jane, LPC's National Provider Identifier is 1639547144, issued on Sep 14, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Sep 1, 2016.