Individual provider · Type 1 NPI
Angela Tava Miranda, JD, MD, LPC
Mental Health Counselor · San Antonio, TX
NPI number
1821838517
Active
Practice location
7254 Blanco Rd Ste 206
San Antonio, TX 78216-4930
Mailing address
9818 Lantana Dr
San Antonio, TX 78217-4521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1821838517
Angela Tava Miranda, JD, MD, LPC's National Provider Identifier is 1821838517, issued on May 29, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Antonio, TX. The record was last updated on May 29, 2024.