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Mrs. Miranda Dawn Antonio, AA
Counselor in Tularosa, New Mexico
NPI 1104008432

Miranda Dawn Antonio is a Counselor based in Tularosa, NM. Miranda Dawn Antonio practices in Tularosa, NM and has the professional credentials of AA. The NPI Number for Miranda Dawn Antonio is 1104008432 and holds a License No. (New Mexico).

The current practice location address for Miranda Dawn Antonio is 253 Pecos Rd, Tularosa, NM and can be reached out via phone at 505-379-4838.

Location: 253 Pecos Rd, Tularosa, NM, 88352-9666
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104008432
Provider Name
Miranda Dawn Antonio
Credential
AA
Provider Entity Type
Individual
Gender
Female
Address
253 Pecos Rd, Tularosa, NM, 88352-9666
Phone Number
505-379-4838
Fax Number
Provider Enumeration Date
11/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
253 Pecos Rd
City
Tularosa
State
New Mexico
Zip
88352-9666
Phone Number
505-379-4838
Fax Number
person
Provider Business Mailing Address Details
Address
253 Pecos Rd
City
Tularosa
State
New Mexico
Zip
88352-9666
Phone Number
505-379-4838
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
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