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Mr. John David Miracle, MSNCCLPC
Counselor in Rutherfordton, North Carolina
NPI 1154367209

John David Miracle is a Counselor based in Rutherfordton, NC. John David Miracle practices in Rutherfordton, NC and has the professional credentials of MSNCCLPC. The NPI Number for John David Miracle is 1154367209 and holds a License No. 3647 (North Carolina).

The current practice location address for John David Miracle is 182 West Court St, Rutherfordton, NC and can be reached out via phone at 828-287-7806 and via fax at 828-287-0004.

Location: 182 West Court St, Rutherfordton, NC, 28139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154367209
Provider Name
John David Miracle
Credential
MSNCCLPC
Provider Entity Type
Individual
Gender
Male
Address
182 West Court St, Rutherfordton, NC, 28139
Phone Number
828-287-7806
Fax Number
828-287-0004
Provider Enumeration Date
06/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1384E 01 NC BCBS
institution
Provider Business Practice Location Address Details
Address
182 West Court St
City
Rutherfordton
State
North Carolina
Zip
28139
Phone Number
828-287-7806
Fax Number
828-287-0004
person
Provider Business Mailing Address Details
Address
182 West Court St
City
Rutherfordton
State
North Carolina
Zip
28139
Phone Number
828-287-7806
Fax Number
828-287-0004
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
3647 (North Carolina)
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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