Individual provider · Type 1 NPI

Vanessa Miranda, BA

Counselor · Carbondale, IL

NPI number 1679207385 Active

Practice location

2311 S Illinois Ave
Carbondale, IL 62903-5912

Call (618) 457-6703 Map

Fax (618) 549-3734

Mailing address

902 W Main St
West Frankfort, IL 62896-2210

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 1679207385

Vanessa Miranda, BA's National Provider Identifier is 1679207385, issued on Jul 11, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Carbondale, IL. The record was last updated on Jul 11, 2022.