Individual provider · Type 1 NPI

Phillipe Miranda

Mental Health Counselor · Jamaica Plain, MA

NPI number 1639549280 Active

Practice location

3815 Washington St, Suite 2
Jamaica Plain, MA 02130-3745

Mailing address

4073 Washington St, Apt 1
Roslindale, MA 02131-1714

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1639549280

Phillipe Miranda's National Provider Identifier is 1639549280, issued on Sep 25, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jamaica Plain, MA. The record was last updated on Sep 25, 2015.