Individual provider · Type 1 NPI

Heather Kristen Miranda

Mental Health Counselor · Santa Fe, NM

NPI number 1962697011 Active

Practice location

2504 Camino Entrada
Santa Fe, NM 87507-4851

Mailing address

PO Box 28220
Santa Fe, NM 87592-8220

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X0104651 (NM)
Mental Health Counselor Primary 101YM0800X0129911 (NM)

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About NPI 1962697011

Heather Kristen Miranda's National Provider Identifier is 1962697011, issued on Sep 12, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Fe, NM. The record was last updated on Feb 19, 2013.