Individual provider · Type 1 NPI
Miryam Rose
Mental Health Counselor · Seal Beach, CA
NPI number
1679397558
Active
Practice location
1842 Thunderbird Dr Apt 1B
Seal Beach, CA 90740-5240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1679397558
Miryam Rose's National Provider Identifier is 1679397558, issued on Nov 8, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Seal Beach, CA. The record was last updated on Oct 15, 2026.