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Miranda Paige Wallace
Student in an Organized Health Care Education/Training Program in Hurricane, Utah
NPI 1164134094

Miranda Paige Wallace is a Student in an Organized Health Care Education/Training Program based in Hurricane, UT. Miranda Paige Wallace practices in Hurricane, UT. The NPI Number for Miranda Paige Wallace is 1164134094 and holds a License No. (Utah).

The current practice location address for Miranda Paige Wallace is 4 S 2600 W Ste 6, Hurricane, UT and can be reached out via phone at 435-229-8405.

Location: 4 S 2600 W Ste 6, Hurricane, UT, 84737-2631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164134094
Provider Name
Miranda Paige Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
4 S 2600 W Ste 6, Hurricane, UT, 84737-2631
Phone Number
435-229-8405
Fax Number
Provider Enumeration Date
12/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4 S 2600 W Ste 6
City
Hurricane
State
Utah
Zip
84737-3247
Phone Number
435-229-8405
Fax Number
person
Provider Business Mailing Address Details
Address
4 S 2600 W Ste 6
City
Hurricane
State
Utah
Zip
84737-3247
Phone Number
435-229-8405
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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