MIRANDA MILLICAN MARRIAGE AND FAMILY THERAPIST INC
NPI 1992460430
Counselor - Mental Health in San Diego, CA

Q: What is Miranda Millican Marriage And Family Therapist Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since October 31, 2021

3821 FRONT ST, SAN DIEGO, CA 92103(619) 736-0495 Get Directions Write a Review

NPPES record last updated: October 31, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Miranda Millican Marriage And Family Therapist Inc NPPES

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

MIRANDA MILLICAN MARRIAGE AND FAMILY THERAPIST INC (NPI 1992460430), doing business as Wander Psychotherapy, is a healthcare organization registered as a mental health in San Diego, California and active in the NPI registry since October 2021. The organization lists Miranda Rose Roth Millican, Ceo, as its authorized official.

NPPES Registry Identity

NPI1992460430

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameMIRANDA MILLICAN MARRIAGE AND FAMILY THERAPIST INC

Location Address3821 FRONT STSan Diego, CA 92103-3019

Mailing Address3821 Front StSan Diego, CA 92103-3019 · (619) 736-0495

Phone(619) 736-0495

Organization SubpartNo

Authorized OfficialMiranda Rose Roth MillicanCeo · (619) 736-0495

Enumeration DateOctober 31, 2021

NPPES CertifiedOctober 31, 2021

✔ NPI 1992460430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

3821 FRONT ST, San Diego, CA 92103

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Other Names 1

Doing Business AsWander Psychotherapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THERESE REICHERT PH.D.

Psychologist (Clinical)