MIRANDA ROSE

Counselor - Mental Health

Active Individual
NPI: 1336554146

Practice Address

1100 W 6TH AVE
Gary, IN 46402

Phone: (219) 885-4264

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes -

Frequently Asked Questions

NPI 1336554146 is the National Provider Identifier for MIRANDA ROSE, a Counselor - Mental Health provider located in Gary, IN. This NPI was enumerated on July 1, 2014.
MIRANDA ROSE practices at 1100 W 6TH AVE, Gary, IN 46402.

Quick Facts

NPI
1336554146
Type
Individual
Enumerated
Jul 1, 2014
Last Updated
Jul 1, 2014

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