Individual provider · Type 1 NPI
Diego Julian Miranda, LPC
Counselor · Meridian, ID
NPI number
1780433912
Active
Practice location
1047 S Wells St Ste 107
Meridian, ID 83642-7997
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 10507 (ID) |
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 1780433912
Diego Julian Miranda, LPC's National Provider Identifier is 1780433912, issued on May 20, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Meridian, ID. The record was last updated on Aug 28, 2024.