Individual provider · Type 1 NPI

Julio C. Miralda, BA, CAS, LADC1

Addiction (Substance Use Disorder) Counselor · Jamaica Plain, MA

NPI number 1659577229 Active

Practice location

3297 Washington St
Jamaica Plain, MA 02130-2655

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC-4356 (MA)
Addiction (Substance Use Disorder) Counselor 101YA0400XLADC1#129 (MA)

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

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About NPI 1659577229

Julio C. Miralda, BA, CAS, LADC1's National Provider Identifier is 1659577229, issued on Jun 21, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jamaica Plain, MA. The record was last updated on Jul 8, 2007.