Individual provider · Type 1 NPI

Miranda De la Cruz, LAC

Counselor · Phoenix, AZ

NPI number 1922741529 Active

Practice location

3620 N 3rd St
Phoenix, AZ 85012-2020

Call (602) 230-7373 Map

Fax (602) 257-8029

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLAC-19694 (AZ)

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 1922741529

Miranda De la Cruz, LAC's National Provider Identifier is 1922741529, issued on Apr 20, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 20, 2022.