What is Juan Miranda's NPI number?

The NPI number assigned to this healthcare provider is 1174160436, enumerated as a individual on December 5, 2019.

Where is the provider located?

The provider is located at 572 N ARROWHEAD AVE SAN BERNARDINO, CA 92401 and the phone number is (909) 266-2721.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

MR. JUAN JOSE MIRANDA B.A. - NPI 1174160436 - Counselor in San Bernardino, CA

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About Mr. Juan Jose Miranda B.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JUAN JOSE MIRANDA B.A. (NPI 1174160436) is an individual counselor in San Bernardino, California and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1174160436

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. JUAN JOSE MIRANDACredential: B.A.

Location Address572 N ARROWHEAD AVESan Bernardino, CA 92401-1251

Mailing Address572 N Arrowhead AveSan Bernardino, CA 92401-1251 · (909) 266-2721

Phone(909) 266-2721

Sole ProprietorYes

Enumeration DateDecember 5, 2019

Last NPPES UpdateJune 30, 20212 updates tracked since enumeration

NPPES CertifiedJune 30, 2021

✔ NPI 1174160436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

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.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

572 N ARROWHEAD AVE, San Bernardino, CA 92401

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