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Mir Land Eugene, MA,MS
Counselor in Opa Locka, Florida
NPI 1417991555

Mir Land Eugene is a Counselor based in Miami, FL. Mir Land Eugene practices in Opa Locka, FL and has the professional credentials of MA,MS. The NPI Number for Mir Land Eugene is 1417991555 and holds a License No. (Florida).

The current practice location address for Mir Land Eugene is 4469 Nw 167Th St, Opa Locka, FL and can be reached out via phone at 305-621-1455 and via fax at 305-621-5508.

Location: 4469 Nw 167Th St, Opa Locka, FL, 33161-7182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417991555
Provider Name
Mir Land Eugene
Credential
MA,MS
Provider Entity Type
Individual
Gender
Female
Address
4469 Nw 167Th St, Opa Locka, FL, 33161-7182
Phone Number
305-621-1455
Fax Number
305-621-5508
Provider Enumeration Date
06/16/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
764792100 05 FL
institution
Provider Business Practice Location Address Details
Address
4469 Nw 167Th St
City
Opa Locka
State
Florida
Zip
33055-4311
Phone Number
305-621-1455
Fax Number
305-621-5508
person
Provider Business Mailing Address Details
Address
4469 Nw 167Th St
City
Opa Locka
State
Florida
Zip
33055-4311
Phone Number
305-621-1455
Fax Number
305-621-5508
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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