person
Johnny Miranda, BA
Counselor in Springfield, Massachusetts
NPI 1669801023

Johnny Miranda is a Counselor based in West Springfield, MA. Johnny Miranda practices in Springfield, MA and has the professional credentials of BA. The NPI Number for Johnny Miranda is 1669801023 and holds a License No. (Massachusetts).

The current practice location address for Johnny Miranda is 2155 Main St, Springfield, MA and can be reached out via phone at 413-736-0395 and via fax at 413-734-1651.

Location: 2155 Main St, Springfield, MA, 01089-5003
person
Provider Profile Details
NPI Number
1669801023
Provider Name
Johnny Miranda
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
2155 Main St, Springfield, MA, 01089-5003
Phone Number
413-736-0395
Fax Number
413-734-1651
Provider Enumeration Date
11/06/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
042622756 01 MA COMMONWEALTH CARE ALLIANCE
1307576 01 MA MBHP
12529 01 MA HEALTH NEW ENGLAND
1307576 05 MA
8443 01 MA BMC
1022610 01 MA NHP
1022610 01 MA FALLON
997203 01 MA NETWORK HEALTH
Y10086 01 MA MEDICARE
1022610 01 MA BEACON/BMC
71756 01 MA TUFTS
institution
Provider Business Practice Location Address Details
Address
2155 Main St
City
State
Zip
01104-3301
Phone Number
413-736-0395
Fax Number
413-734-1651
person
Provider Business Mailing Address Details
Address
2155 Main St
City
State
Zip
01104-3301
Phone Number
413-736-0395
Fax Number
413-734-1651
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
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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